Sunday, December 17, 2023

Due Diligence and Genomics. Books, Blogs, and AI.

Amazon offers several books on  biotech due diligence, and Google offers more articles and free resources.

Google

https://www.orrick.com/en/Insights/2022/11/IP-Due-Diligence-Considerations-for-Prospective-Investors-of-Emerging-Life-Sciences-Companies  (focus on IP DD)

2023, Pitfalls in Clinical Genetics (incluedes medico-legal)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9979801/

Amazon Books

Building Backwards to Biotech [Wisner; and other books on biotech entrepreneurship and management]

Scientific Due Diligence [Martinsberg; and other similar] [have ebook]

Some aspects of due diligence (valuation) are handled as such in Glorikian, Commercializing Novel IVDs. (have book)

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Due diligence takes added importance (for both sides) in a tight funding environment.   Fierce Biotech layoffs.   Fierce Biotech no IPOs.    One firm from $20 in 2019, to $50 in 2020/2021, to $1, while sales rose from $217M to over $500M, $516M; while operating expenses were relatively flat. (NVTA).  Another firm (WGS GeneDx) from $660 in late 2020 to $2.50 in early 2024.   (And, "Goldman Sachs see Golden Era of Biotech,here.)

Martinberg book - Page and a half of payers, part of which is use defining 'payer'

On everything else, an extensive handbook

Building backwards - TPPs.  TPP can lead into a Frueh CU Analysis and into a Quinn Policy Analysis.

Negotiating with patent clerk is similar (people skills) to negotiating with a payor medical director (people skills) but ALSO do not over estimate the value (finite) of people skills re claims and data.   



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What about the genomics side of due diligence?   I didn't find much on Google and I asked Chat GPT.

See also as Google Doc

https://docs.google.com/document/d/10lh44Hyx8InUxrDzYGVBuB_xQWaItasIbCFovLyqTf4/edit?usp=sharing



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Much is known about doing due diligence in biopharma in general.   What are important considerations for due diligence of startup or young (series B or near IPO) genomics companies?   

Many of these seem to get funded yet burn a lot of money or go out of business, suggesting that the criteria for good due diligence in a  healthy way are not so well udnerstood for genomics companies.  Thanks in advance for your thoughtful and structured advice.

ChatGPT

Due diligence for startup or young genomics companies, especially those in Series B funding or nearing an IPO, involves a multi-faceted approach. The genomics field is complex and rapidly evolving, making due diligence even more critical. Here's a structured approach to consider:


Technology and Innovation Assessment:

Scientific Foundation: Evaluate the scientific basis of the company’s technology. Is it grounded in sound, peer-reviewed research?

Intellectual Property: Check the strength and breadth of patents. Are there potential infringements or limitations?

Technological Edge: Assess how the company's technology compares to existing solutions. Does it offer a significant advantage in terms of accuracy, speed, cost, or scalability?

Market Analysis:

Market Need: Identify the market demand for the company’s genomics solutions. Are they addressing a significant, unmet clinical or research need?

Competitive Landscape: Understand the competition. Who else is offering similar genomic solutions, and what is their market share and growth strategy?

[One can also take this in the full-on MBA direction, e.g. via Porter's Five Forces]

Regulatory Pathways: Investigate the regulatory landscape. What are the hurdles for market approval, and how is the company planning to navigate them?

[There are also some real quirky aspects of reimbursement, e.g. bundling rules]

Financial Evaluation:

Burn Rate and Financial Runway: Look at the company’s current burn rate and how long their capital will last.

Revenue Model: Understand how the company plans to make money. Do they have a viable, scalable business model?

Historical Financial Performance: Review past financial statements for insights into management's fiscal responsibility and efficiency.

Team and Governance:

Management Team: Evaluate the experience and track record of the leadership team. Do they have relevant experience in genomics and business?

Advisory Board: Consider the composition and expertise of the scientific advisory board.

Corporate Governance: Assess the company’s governance structure. Is there a healthy balance between founders, investors, and independent members?

Clinical and Regulatory Compliance:

Clinical Trials and Data: Examine any existing clinical trial data for efficacy and safety.

Regulatory Compliance: Ensure that the company is compliant with all relevant regulatory bodies and that they have a clear path to compliance in their target markets.

Partnerships and Collaborations:

Existing Partnerships: Look at current partnerships with other companies, academic institutions, or research organizations.

Potential for Future Collaborations: Assess the potential for future strategic partnerships that can provide technology validation, market access, or additional funding.

Risk Assessment:

Technological Risks: Consider the risks associated with the technology failing to meet its promises.

Market Risks: Assess the risk of market acceptance and competition.

Regulatory Risks: Understand the potential regulatory hurdles and how they might impact the company.

Exit Strategy and ROI Potential:

Exit Options: Consider potential exit strategies, such as IPO, acquisition, or mergers.

Return on Investment: Estimate the potential return on investment, considering the risks and market potential.

Remember, each company is unique, and the due diligence process should be tailored accordingly. It's essential to combine quantitative analysis with qualitative insights to get a comprehensive understanding of the company's potential.

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User

I'm thinking of a genomics company that raised $100M in genomics in 2020, another $200M in 2021, and yet by 2023 it was worth only pennies on the dollar.  What are some of the most common mistakes made by investors that are distinctive to genomics ?

ChatGPT

Investing in genomics companies can be particularly challenging due to the unique aspects of this field. 

When a genomics company that has raised substantial funding ends up significantly underperforming, it often points to specific mistakes or oversights by investors. Here are some common mistakes that are distinctive to investing in genomics companies:


Overestimating the Addressable Market:

Investors sometimes overestimate the size of the market that a genomics company can realistically capture. While the potential applications of genomics are vast, actual market demand, especially in the short to medium term, may be much smaller.

Underestimating Regulatory Challenges:

The path to market for genomics-based products can be fraught with regulatory challenges. Investors might underestimate the time, resources, and complexity involved in navigating these regulatory processes, especially for clinical applications.

Failing to Adequately Assess Scientific Validity:


The science behind genomics is complex and rapidly evolving. Investors may not have the expertise to critically evaluate the scientific underpinnings of a company’s technology, leading to investments in companies whose technologies are not as advanced or unique as believed.

Ignoring Reimbursement Hurdles:

In healthcare, having a great product is not enough; it must also be reimbursable by insurance companies or other payers. Investors might overlook the challenges in establishing a viable reimbursement model for genomic tests or therapies.

Overlooking Execution and Operational Risks:

Even with strong science and a significant market, operational inefficiencies, poor management, or execution failures can derail a genomics company. Investors might focus too much on the technology and not enough on the company’s ability to execute its business plan.

Misjudging the Competitive Landscape:

Genomics is a highly competitive field with rapid technological advancements. Investors might not fully appreciate the competitive pressures, including the emergence of new technologies that can quickly make existing ones obsolete.

Neglecting the Importance of Data and Privacy Concerns:

Genomic data is sensitive and subject to various privacy laws and concerns. Underestimating the importance of data security and privacy can lead to legal and reputational risks.

Assuming Linear Progress in a Complex Field:

Scientific and technological advancements in genomics don’t always follow a linear trajectory. Investors might expect steady progress without considering the potential for setbacks or the need for significant pivots.

Focusing Solely on Technology and Ignoring Commercialization:

A common mistake is being too focused on the technology itself and not on how it will be commercialized. Understanding the path to market, including sales, marketing, and distribution, is crucial.

Not Planning for Sufficient Capital and Time Horizons:

Genomics companies often require significant capital and long time horizons to develop their products and reach profitability. Investors might underestimate the amount of funding and time needed for the company to mature.

To mitigate these risks, investors in genomics companies need to conduct thorough due diligence, often involving experts in genomics, regulatory affairs, market analysis, and business development. This comprehensive approach can help in making more informed investment decisions in this complex and rapidly evolving field.


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User

Considering our discussion of due diligence above.   Give a set of guidelines or rules for calcualting NPV of a new biotech product (in this case, a new genomic test).   Then I will ask another question.   

ChatGPT

Calculating the Net Present Value (NPV) of a new biotech product, like a genomic test, involves estimating the present value of future cash flows generated by the product, and then subtracting the initial investment. This process is crucial in investment decision-making, as it helps in evaluating the profitability of the investment. Here's a set of guidelines to calculate the NPV of a new genomic test:


Forecast Revenue Streams:


Estimate the potential revenues from the genomic test over its expected lifecycle. Consider factors like market size, adoption rate, pricing strategy, and competition.

Account for potential changes in the market, such as new competitors or technological advancements that could affect pricing or market share.

Estimate Costs:


Include all costs associated with bringing the genomic test to market, such as research and development, manufacturing, marketing, distribution, and operational expenses.

Factor in ongoing costs, including maintenance, updates, customer support, and any other recurring expenses.

Determine the Product's Lifecycle:


Define the expected commercial lifespan of the genomic test. Biotech products often have a finite market life due to technological advancements and changing market demands.

Consider the Time Value of Money:


Apply an appropriate discount rate to reflect the time value of money. This rate should reflect the risk profile of the investment and the opportunity cost of capital.

Calculate Net Cash Flows for Each Period:


For each year of the product's lifecycle, calculate the net cash flow (revenue minus costs).

Include a terminal value if the product is expected to generate cash flows beyond the forecast period.

Discount Future Cash Flows:


Discount the net cash flows for each period back to their present value using the chosen discount rate.

The sum of these discounted cash flows represents the total present value of future cash flows.

Subtract Initial Investment:


Deduct the initial investment costs from the total present value of future cash flows to determine the NPV.

Sensitivity Analysis:


Perform sensitivity analysis to understand how changes in key assumptions (like market size, costs, or discount rate) impact the NPV. This helps assess the risk and potential variability in returns.

Consider Regulatory and Market Risks:


Biotech products face significant regulatory risks. Account for the possibility of delays or additional costs due to regulatory hurdles.

Understand market risks, such as changes in healthcare policies, which could impact the adoption and pricing of the test.

Scenario Analysis:


Conduct scenario analysis to evaluate the NPV under different circumstances (e.g., best-case, worst-case, and most-likely scenarios).

Remember, calculating the NPV of a biotech product involves significant assumptions and estimates. It's important to use realistic and well-informed figures and to regularly update the analysis as new information becomes available.

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Are step 4 and step 6 the same discount rate?

ChatGPT

Yes, in steps 4 and 6 of calculating the Net Present Value (NPV) for a new genomic test or any other investment, the same discount rate is typically used. Here’s a detailed explanation of each step:


Step 4 - Determining the Discount Rate:


This step involves selecting an appropriate discount rate to apply to future cash flows. The discount rate is a crucial figure that reflects the risk profile of the investment and the opportunity cost of capital. It's essentially the rate of return that could be earned on an investment of similar risk in the best alternative investment option.

Step 6 - Discounting Future Cash Flows:


In this step, you use the discount rate determined in step 4 to calculate the present value of future cash flows. Each year’s (or period’s) cash flow is discounted back to its present value using this rate. This process adjusts for the time value of money, recognizing that money available in the future is worth less than the same amount available today due to its potential earning capacity.

The consistency in using the same discount rate across these steps is important for a couple of reasons:


Risk Consistency: It ensures that the risk profile of the investment is consistently applied throughout the analysis. The discount rate reflects the risk, and using different rates could imply a change in the risk assessment in different stages of the calculation.


Accuracy in Present Value Calculation: Using the same rate throughout maintains the accuracy of the NPV calculation. Changing the rate would distort the present value calculation, leading to potentially misleading conclusions.


It's important to carefully determine the appropriate discount rate, as it significantly influences the resulting NPV. The chosen rate should reflect the specific risks and uncertainties associated with the biotech project, including market risk, technological risk, regulatory risk, and the company’s own operational risk.


User

It seems one would have to be careful about undercounting but also over counting risk.   For example, you could have a discount rate of 15% because biotech (genomics) is risky.  But would it then be double counting to multiple cash flow per year by 50% because there is a 50% risk of scientific failure?    Do you see where I am going?

ChatGPT

Yes, I understand your concern. It's important to balance accurately reflecting the inherent risks of a biotech (genomics) venture without inadvertently double-counting those risks in the NPV calculation. Let's break this down:


Setting the Discount Rate:


The discount rate, in this case, 15% for a high-risk biotech project, is intended to encapsulate the overall risk profile of the investment. This includes market risks, scientific risks, regulatory risks, and other uncertainties. It reflects the investor's required rate of return given these risks.

Adjusting Cash Flows for Specific Risks:


Separately adjusting the expected cash flows for specific risks, such as a 50% reduction to account for the risk of scientific failure, might be seen as an attempt to directly quantify a particular risk.

However, doing both — setting a high discount rate to account for overall risk and then also significantly reducing the expected cash flows for a specific risk — can lead to the issue of double-counting the risk. Here’s why:


Discount Rate Already Reflects Risk: The elevated discount rate is used because the investment is risky, which inherently includes the probability of scientific failure. Therefore, the future cash flows are already being 'penalized' for the risk through a higher discount rate.


Risk-Specific Adjustments: If you also adjust the cash flows directly for specific risks, you're effectively accounting for the same risk twice: once in the discount rate and again in the cash flow adjustment.


To avoid double-counting:


Comprehensive Risk Assessment: Ensure that the discount rate you choose comprehensively reflects the overall risk profile of the investment. This should include all significant risks, including the likelihood of scientific failure.


Use of Probabilistic Models: Instead of directly reducing cash flows, consider using probabilistic models or scenario analysis to account for specific risks like scientific failure. This approach can give a range of NPVs under different scenarios, reflecting various outcomes (success, partial success, failure).


Consistency in Approach: Be consistent in how you apply risk assessments. If you're using a high discount rate to account for general risk, avoid further penalizing cash flows for specific risks unless those risks are not adequately captured in the discount rate.


Balancing the assessment of risk in NPV calculations is more of an art than an exact science, especially in fields like biotech where uncertainties are high. It requires a nuanced understanding of both the industry and the specific venture, alongside careful consideration of how different types of risks are accounted for in the financial analysis.


User

OK, here's a related question.  We've talked about due diligence earlier, and I've got a book on scientific due diligence (by Martinsberg, 2018).    Then, we've talked about calculating NPV and considering things like scenario analysis.    

It seems there is a lot of overlap between "due diligence report" (which must financially value a company or project for investors) and "NPV analysis" which tells the investors the NPV of the project and how much they should invest and the NPV analysis may include things like scenarios.

Talk about similarities and differneces between a due diligence report (which may include NPV?) and a NPV report (which, if thoughtful, will understand the overall viability of the business without which NPV is just hypothetical).

ChatGPT

You've touched upon a very insightful aspect of financial analysis in the context of investing, especially in sectors like biotech and genomics. The due diligence report and NPV (Net Present Value) analysis, while interrelated, serve distinct yet complementary purposes in the investment decision-making process. Let's explore their similarities and differences:


Similarities:

Financial Evaluation: Both due diligence reports and NPV analyses are fundamentally concerned with the financial viability of a project or company. They aim to inform investors about the potential returns and associated risks.


Risk Assessment: A key component of both is assessing the risks involved. In due diligence, this encompasses a broader evaluation of risks (scientific, market, regulatory, operational), while in NPV analysis, risks are often quantified in terms of the discount rate and scenario analysis.


Future Projections: Both reports involve making projections about the future. Due diligence might assess the future market potential and growth prospects, while NPV calculations project future cash flows.


Scenario Analysis: Both may include scenario analysis to understand how different future conditions could impact the investment. This helps in assessing the robustness of the investment under various circumstances.


Inform Investment Decisions: Ultimately, the goal of both reports is to inform investment decisions – whether to invest, how much to invest, and under what terms.


Differences:

Scope and Focus:


Due Diligence Report: This is a broader evaluation that covers all aspects of a business – financial, legal, operational, technological, market, and regulatory. It's about understanding the company or project in its entirety.

NPV Analysis: This is a more focused financial tool used to evaluate the profitability of a specific investment. It's primarily concerned with the cash flows, the timing of these cash flows, and the discount rate.

Depth of Financial Analysis:


Due Diligence Report: While it includes financial analysis, it's just one part of a larger picture. The financial analysis in due diligence may not be as in-depth as a standalone NPV analysis.

NPV Analysis: This is a detailed financial model focusing specifically on cash flows, discount rates, and the net value of the investment over time.

Incorporation of Non-Financial Factors:


Due Diligence Report: It includes non-financial factors such as team experience, technology viability, legal issues, and competitive landscape, which may indirectly influence financial projections.

NPV Analysis: Primarily focuses on quantifiable financial factors. Non-financial factors might influence the assumptions but are not the central focus.

Purpose and Use:


Due Diligence Report: Used to get a comprehensive understanding of the investment opportunity, identifying potential red flags and areas of concern. It's a critical tool for decision-making.

NPV Analysis: Used to determine the value of an investment purely from a financial perspective. It's a tool to assess whether the investment makes financial sense.

Integration in Investment Process:


Due Diligence Report: Often the first step in the investment process, providing a detailed overview and understanding of the potential investment.

NPV Analysis: Usually comes after initial due diligence, used for a deeper financial dive and to justify the investment quantitatively.

Conclusion:

While there's overlap in assessing the financial viability and risks, a due diligence report is broader, encompassing a comprehensive analysis of the business or project. In contrast, an NPV analysis is a more focused tool, specifically used for assessing the financial worth of an investment. A thorough investment analysis would ideally include both: due diligence for a holistic understanding and NPV for a focused financial valuation.


User

But let me query this again.  The due diligence report includes a regulatory analysis, which might project a 30% risk of FDA failure to approve.    The NPV report isn't accurate of the NPV unless it's included that 30% in its projected cash flows somewhere along the line.

ChatGPT

You're absolutely right in noting that a comprehensive due diligence report's findings, particularly regarding regulatory risks like a potential FDA approval failure, should be integrated into the NPV (Net Present Value) analysis to ensure its accuracy and relevance. Let's delve into how this integration typically works:


Integration of Regulatory Risk into NPV Analysis:


When the due diligence report identifies a specific risk, such as a 30% chance of failing to obtain FDA approval, this risk needs to be factored into the NPV analysis.

This can be done through adjusting the projected cash flows to reflect the probability of different outcomes. For instance, the expected revenue streams could be weighted to account for the 30% risk of non-approval. This means only considering 70% of the potential revenue in the NPV calculation to reflect the approval uncertainty.

Scenario Analysis:


Another method is to use scenario analysis within the NPV framework. Here, you could calculate separate NPVs for different scenarios: one where the FDA approves the test (full revenue projections) and one where it does not (significantly reduced or zero revenue).

The overall NPV would then be a weighted average of these scenarios, based on the probabilities assigned during due diligence (e.g., 70% weight to the approval scenario and 30% to the non-approval scenario).

Discount Rate Adjustments:


While adjusting cash flows is one approach, another method is to adjust the discount rate to reflect the risk. If there's a significant regulatory risk, the discount rate can be increased to account for this added uncertainty. However, this method is less direct than adjusting cash flows and can be less precise in quantifying specific risks like regulatory approval.

Sensitivity Analysis:


A sensitivity analysis can also be performed to show how changes in the approval probability affect the NPV. This helps in understanding the impact of regulatory risk on the investment's viability.

Consistent Risk Assessment:


It's important that the risk assessments in the due diligence report and the NPV analysis are consistent. If the due diligence identifies a 30% risk of FDA failure, this same figure should be used in the NPV analysis to ensure alignment and accuracy.

Communication of Assumptions:


Any NPV analysis should clearly communicate the assumptions made regarding risks, including how the findings of the due diligence report have been integrated. This transparency is crucial for stakeholders to understand the basis of the financial projections and the associated risks.

In summary, while a due diligence report and an NPV analysis have different scopes and focuses, the findings from the due diligence, especially regarding specific risks like regulatory approvals, must be appropriately reflected in the NPV analysis. This ensures that the NPV calculation provides a realistic and relevant financial valuation of the investment opportunity.


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I am working on a white paper on how NPV and/or due diligence in genomic tests involves novel concepts and risks that are not present for the "typical" biotech drug.   Here are some of my ideas.   

1.  There is a standard approach to ROI of biotech products (cash flows, discout rate, etc).

2.  New kinds of policies affect genomics.   CMS has a 14 day rule prohibiting separate payment for the genomic test within 14 days of inpatient biopsy.   CMS has different bundling or packaging rules for proteomic and genomic tests even in the outpatient setting.   

3.  Pricing is highly constrainted by rules or funnels.    Your new genomic test may be "crosswalked" to a lower price test on the whim (self-justified) of a CMS administrator.  Or the test price may be set administratively by the gapfill method which is essentially CMS ad hoc price setting with minimum chance to appeal.   HEOR studies are likely to play no ruule at all.

4.  Genomic innovator labs often develop a genomic test with tens of millions of investment dollars, yet CMS may attempt to price at marginal cost and disrespect even a penny of the R&D cost.  In contrast, CMS pays doctors and hospitals about 105% of drug prices, where the acquisition drug price may include voluminous proportions for profit and R&D.    

5.  Coverage may be much slower, for example, you submit a dossier for genomic test coverage and wait 1 year for it to appear as a proposed LCD and 1 more year for it to appear as a final LCD - two years or 24 months of no revenue and ongoing burn rate.

6.  Valuation and assessment of genomics may use obscure (debated and debatable) concepts like "clinical validity" and "clinical utility".  Yes, these often have definitions but usually they are simplistic and circular and subject to widely differing opinions.   

7.  Genomics are often studied in retrospective trials, which is considered weaker data.   On the other hand, if you have a test that shows a drug does not work or has awful side effects, then it is hardly fair or viable to test in a prospective trial.   

8.  One armed trial may use syntheticaly designed control group (e.g. patients known from hospital records or claims forms) rather than RCT controlled gruops.   This may make the index test (studied in a one arm group) look too good, or perhaps underperform, in comparison to the "synthetic" control group.  

9.  there is science risk due to overfitting of genomic multi gene tests to a retrospective cohort.    Overfitting means that a new group will not fit the  test algorithm nearly as well, due to overfitting to the first group.

10.  Capital for client investments may be hard.  For example, pathology services are currently falling in nominal dollar terms, and clinical laboratory services are falling also in real dollar terms due to fixed prices in a time of inflation.   This squeezes margins of providers (hospitals, labs), making it harder for them to invest new capital in innovations.    

Please discuss these 10 points in the setting of a new paper on the role of these special factors in the field of due diligence and NPV/ROI assessment, when the topic is genomics.  I will use some  examples where the valuation of public genomics companies fell rapidly, suggesting that the market at the top end was poorly valuing the genomic labs' real prospects.


ChatGPT

Your white paper on the unique challenges in due diligence and NPV/ROI assessment for genomic tests in biotech sounds both fascinating and important. The 10 points you've raised highlight specific nuances and complexities that are distinctive to genomics, setting it apart from typical biotech drug development. Let's discuss these points in the context of their impact on due diligence and NPV/ROI assessment:


Standard ROI Approach and Its Limitations in Genomics:


While the ROI of biotech products typically follows a standard approach (cash flow analysis, discount rates), genomic tests challenge this framework with unique regulatory, pricing, and market dynamics. Understanding these nuances is crucial in due diligence and NPV calculations.

Impact of Specific Policies on Genomics:


Policies like the CMS 14-day rule or different bundling rules for genomic tests create a unique regulatory landscape that affects revenue and market access. Due diligence must include a thorough policy analysis, and NPV calculations should account for these regulatory constraints.

Pricing Constraints and Their Financial Implications:


The potential for CMS to 'crosswalk' genomic test prices to lower-priced tests or use the gapfill method for price setting introduces significant pricing uncertainty. This uncertainty must be factored into revenue projections and risk assessments in NPV analyses.

Disparity in R&D Cost Recognition:


The potential for CMS to price genomic tests at marginal cost, ignoring R&D investment, versus the more favorable pricing for drugs, highlights a valuation challenge unique to genomics. This disparity should be a key consideration in financial modeling and risk assessment.

Delays in Coverage and Revenue Impacts:


The slow process for coverage approval (like the LCD process) can lead to significant delays in revenue generation. This aspect should be incorporated into cash flow projections, with extended timelines and delayed revenue streams.

Subjectivity in Clinical Validity and Utility Assessment:


The subjective and often debated nature of terms like 'clinical validity' and 'clinical utility' in genomics can impact market acceptance and coverage. Due diligence should critically assess these factors, and scenario analysis in NPV calculations can help manage this uncertainty.

Data Strength from Retrospective Trials:


The reliance on retrospective trials in genomics, seen as weaker evidence compared to prospective trials, can affect the perceived efficacy and market acceptance of genomic tests. This should be a part of the scientific and market viability assessment.

Challenges with Trial Design and Data Interpretation:


The use of one-arm trials and synthetically designed control groups can lead to skewed data interpretation. This aspect should be critically evaluated during due diligence for its potential impact on the test’s perceived effectiveness and market credibility.

Risk of Overfitting in Multi-Gene Tests:


The scientific risk of overfitting in genomic tests, where a test tailored to a specific cohort may not generalize well, introduces both scientific and market risks. This risk should be assessed during due diligence and factored into the risk profile in NPV analysis.

Challenges in Securing Capital:


The financial environment of falling revenues in pathology and clinical laboratory services, amidst inflationary pressures, affects the availability of capital for investment in genomic innovations. This economic context is crucial for understanding market dynamics and financial feasibility.

In your paper, when discussing these points, it would be beneficial to frame them not only as challenges but also as areas where due diligence and NPV/ROI assessments need to adapt and evolve. Highlighting case studies where the valuation of public genomics companies fell rapidly could illustrate the consequences of underestimating these unique factors. This approach will provide a comprehensive view of the distinctive landscape of genomics, underscoring the need for a nuanced and tailored approach in financial analysis and investment decision-making in this field.


User

In part I will frame it as reasons the investors need to employ me as a fine expert.

ChatGPT

That's a strategic approach. Positioning yourself as a vital expert in the complex field of genomics investment is a smart way to highlight your value to potential investors. Here are some key aspects you might emphasize in your role as an expert:


Deep Industry Knowledge:


Emphasize your understanding of the unique challenges and nuances of the genomics industry, including regulatory landscapes, scientific advancements, and market dynamics.

Expertise in Navigating Regulatory Hurdles:


Highlight your ability to navigate complex regulatory frameworks and policies that significantly impact genomics investments, such as CMS rules and FDA approval processes.

Advanced Financial Modeling Skills:


Stress your capability in creating sophisticated financial models that accurately reflect the unique risk profiles and revenue potential of genomic tests, including handling uncertainties and scenario analyses.

Risk Assessment and Mitigation Strategies:


Demonstrate your expertise in identifying and assessing various risks specific to genomics investments, from scientific and technological risks to market and regulatory risks, and how you can develop strategies to mitigate these.

Ability to Translate Scientific Data into Business Insights:


Showcase your skill in interpreting complex scientific data and translating it into actionable business insights, crucial for making informed investment decisions in genomics.

Up-to-date Knowledge on Industry Trends:


Investors will value your commitment to staying abreast of the latest trends and developments in genomics, which can rapidly impact investment viability.

Track Record of Accurate Valuations:


If applicable, present case studies or examples where your involvement led to accurate valuations or successful investment decisions in the field of genomics.

Communication and Advisory Skills:


Highlight your ability to effectively communicate complex concepts to stakeholders and provide strategic advice based on comprehensive due diligence and financial analysis.

Network and Collaborative Efforts:


Your connections within the industry, including collaborations with scientific experts, regulatory advisors, and market analysts, can be a significant asset to investors.

Customized Approach:


Emphasize your capability to tailor your approach to the specific needs and contexts of individual investments, rather than applying a one-size-fits-all methodology.

By focusing on these areas, you can effectively position yourself as an indispensable asset to investors, offering unique expertise that can significantly influence the success of their ventures in the rapidly evolving and highly specialized field of genomics.


User

We  presented and discussed 10 ways in which genomic due dligence or valuation requires special knowledge, awareness, and attention that is not relevant to more general valuation of a biotech drug investment.    Could you walk through them and state whether each one, 

(a) pertains mostly to Due Diligence, 

(b) pertains mostly to writing an NPV report, or 

(c) pertains about equally to both.

ChatGPT

Certainly! Let's categorize each of the 10 points you've presented based on whether they pertain mostly to Due Diligence, NPV report writing, or both:


Standard ROI Approach and Its Limitations in Genomics:


(c) Pertains about equally to both: Understanding the limitations of standard ROI approaches in the context of genomics is crucial for both due diligence (to assess overall investment soundness) and NPV analysis (to ensure financial models are appropriately adapted).

Impact of Specific Policies on Genomics:


(a) Pertains mostly to Due Diligence: Policy impacts require a comprehensive understanding of the regulatory landscape, which is a key aspect of due diligence.

Pricing Constraints and Their Financial Implications:


(c) Pertains about equally to both: Pricing constraints affect market potential and profitability, essential in both due diligence for overall market assessment and in NPV analysis for accurate revenue forecasting.

Disparity in R&D Cost Recognition:


(c) Pertains about equally to both: Recognizing how R&D costs are treated differently in genomics versus traditional biotech drugs is important for understanding the financial health and potential of the company (due diligence) and for accurate cash flow modeling (NPV analysis).

Delays in Coverage and Revenue Impacts:


(c) Pertains about equally to both: Delays in coverage directly impact revenue timelines and market entry, which are crucial factors in both due diligence (for market strategy assessment) and NPV calculations (for cash flow projections).

Subjectivity in Clinical Validity and Utility Assessment:


(a) Pertains mostly to Due Diligence: The subjectivity in these assessments speaks to the market acceptance and scientific credibility of the genomic tests, which are key due diligence considerations.

Data Strength from Retrospective Trials:


(a) Pertains mostly to Due Diligence: The nature and strength of the data, especially from retrospective trials, is primarily a scientific and clinical evaluation, making it more relevant to the due diligence process.

Challenges with Trial Design and Data Interpretation:


(a) Pertains mostly to Due Diligence: The assessment of trial design and its implications on data interpretation is a part of the scientific and clinical scrutiny typical in due diligence.

Risk of Overfitting in Multi-Gene Tests:


(a) Pertains mostly to Due Diligence: Overfitting is a scientific risk, and understanding its implications on the test's applicability and reliability is a matter of scientific due diligence.

Challenges in Securing Capital:


(b) Pertains mostly to writing an NPV report: The financial climate and its impact on capital availability is a key consideration in financial modeling, affecting assumptions in the NPV report.

In summary, while many of these factors are relevant to both due diligence and NPV report writing, their emphasis varies. Due diligence tends to focus more on the comprehensive understanding of the business, scientific, regulatory, and market landscape, whereas NPV analysis is more concerned with the financial implications and modeling of these factors.


User

Thank you for your fine help this afternoon.

ChatGPT

You're very welcome! I'm glad I could assist you. If you have any more questions in the future, whether it's about biotech, finance, or any other topic, feel free to reach out. Have a great day and good luck with your work on the white paper!

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Above, we categorized the TEN POINTs as to whether they were most relevance to due diligence generally, or specifically to valuation such as NPV and ROI.     Now, can you offer (if possible) a different order of presentation in the white paper, that might be more logical or easier to assimilate for the reader.   The reader is someone who writes (or requisitions) due diligence projects in biotech and in genomics industries.    Let me mention, you might see TWO ways to reorder the ten points, if so, feel free to share both of them and a rationale.  Thank  you.


ChatGPT

Reorganizing the ten points for your white paper to make it more logical and easier for readers, who are primarily involved in biotech and genomics due diligence, can indeed be beneficial. The goal is to present the information in a way that flows naturally and builds upon each concept effectively. I'll propose two possible structures:


Structure 1: From General to Specific

This structure begins with broader issues and gradually moves towards more specific, detailed aspects. It's designed to start with foundational understanding before delving into the intricacies of genomic tests.


  1. Standard ROI Approach and Its Limitations in Genomics: Start with a general overview of ROI in biotech and introduce why genomics requires a different approach.
  2. Impact of Specific Policies on Genomics: Discuss how specific policies affect genomics differently than general biotech.
  3. Challenges in Securing Capital: Introduce the financial context in which genomics operates.
  4. Pricing Constraints and Their Financial Implications: Delve into how pricing is uniquely constrained in genomics.
  5. Disparity in R&D Cost Recognition: Discuss financial recognition issues specific to genomics, building on the financial themes.
  6. Delays in Coverage and Revenue Impacts: Transition into operational challenges, starting with coverage delays.
  7. Subjectivity in Clinical Validity and Utility Assessment: Shift focus to clinical and market acceptance challenges.
  8. Data Strength from Retrospective Trials: Discuss the nature of data in genomics and its implications.
  9. Challenges with Trial Design and Data Interpretation: Further delve into the specifics of trial design.
  10. Risk of Overfitting in Multi-Gene Tests: Conclude with a specific scientific challenge unique to genomics.

Structure 2: From Macro to Micro View

This approach starts with the external environment and regulatory context before moving into company-specific issues and scientific considerations.


  1. Impact of Specific Policies on Genomics: Begin with the regulatory landscape that shapes the genomics industry.
  2. Challenges in Securing Capital: Discuss the broader financial climate affecting genomics.
  3. Pricing Constraints and Their Financial Implications: Explain how external pricing policies impact genomics.
  4. Disparity in R&D Cost Recognition: Address financial valuation issues from an industry perspective.
  5. Standard ROI Approach and Its Limitations in Genomics: Introduce the broader concept of ROI and its adaptation in genomics.
  6. Delays in Coverage and Revenue Impacts: Move into operational aspects specific to genomic companies.
  7. Subjectivity in Clinical Validity and Utility Assessment: Transition into market and clinical acceptance issues.
  8. Data Strength from Retrospective Trials: Start focusing on the specifics of data quality in genomics.
  9. Challenges with Trial Design and Data Interpretation: Delve deeper into the challenges of trial design.
  10. Risk of Overfitting in Multi-Gene Tests: End with a detailed look at a scientific risk specific to genomics.

Rationale

Both structures aim to guide the reader through a logical progression: the first one is more thematic, starting with broad financial and policy contexts before moving into operational and scientific specifics. The second one adopts a macro-to-micro approach, beginning with the external environment and narrowing down to individual company and scientific challenges.


The choice between these structures can depend on what you believe will resonate more with your audience: a thematic journey through the complexities of genomics or a layered approach from broader industry trends to specific scientific challenges. Both aim to provide a comprehensive understanding of the unique nuances in genomics due diligence and valuation.


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Please summarize the uploaded PDF in about 100 words, please.

ChatGPT

The document is a comprehensive discussion on due diligence and Net Present Value (NPV) estimation in the context of genomics. It outlines the challenges and unique aspects of assessing startup or young genomics companies, especially those in Series B funding or nearing IPO. The paper covers a multi-faceted approach to due diligence, encompassing technology and innovation assessment, market analysis, financial evaluation, team and governance assessment, clinical and regulatory compliance, partnerships and collaborations, risk assessment, and exit strategy. Additionally, it touches upon common mistakes investors make in genomics, emphasizing the importance of a tailored due diligence process. The paper also explores calculating the NPV of new biotech products, particularly genomic tests, and discusses the overlaps and differences between due diligence reports and NPV analysis.


User

If someone were writing a white paper on due diligence in biotech, specifically, what is "special" about due diligence in genomics investments, would this material likely be useful?

ChatGPT

Yes, the material in this document would likely be very useful for someone writing a white paper on due diligence in biotech, specifically genomics investments. It provides a detailed overview of the unique challenges and considerations in assessing genomics companies, covering areas such as technology assessment, market analysis, financial evaluation, and regulatory compliance. This comprehensive approach is particularly relevant to genomics due to its specialized nature and the rapid pace of innovation in the field.


User

I understand the author found it difficult to locate written consensus knowledge about what is special when it comes to assessing due diligence in genomic test investments.

ChatGPT

The difficulty in locating consensus knowledge on due diligence for genomic test investments, as highlighted by the author, underscores the unique challenges in this field. Genomics is a rapidly evolving area with complex technology and regulatory landscapes. This lack of established consensus necessitates a more tailored and nuanced approach to due diligence, focusing on specific aspects like technological innovation, market potential, regulatory compliance, and clinical applicability. The document's in-depth analysis of these factors makes it a valuable resource for understanding the special considerations in genomic test investments.


User

It sounds like the field would find a white paper (from this material) useful and might circulate it widely, raising the visibility of the author.

ChatGPT

Indeed, a white paper based on this material could be highly useful in the genomics investment community. Given the complexity and specificity of due diligence in this sector, a well-researched and comprehensive document could serve as a valuable guide. Its circulation could not only fill a knowledge gap but also significantly raise the visibility of the author as a thought leader in this niche area, potentially influencing investment strategies and decision-making processes in genomic test investments.


User

What are some 'watch outs" or "cautions" the author should be aware of, as he crafts said white paper and circulates it through forums such as Linked In postings or webinars.  Alternatively, what special tips might maximize the value of the white paper that the author might not think of?

ChatGPT

When crafting and circulating a white paper on genomics investment due diligence, the author should consider the following cautions and tips:


Cautions:


  1. Accuracy and Updates: Ensure the information is accurate and up-to-date, as genomics is a rapidly evolving field.
  2. Confidentiality and Sensitivity: Be cautious about disclosing sensitive or confidential information, especially from proprietary sources.
  3. Overgeneralization: Avoid generalizing findings across the diverse landscape of genomics investments.
  4. Legal and Regulatory Compliance: Be aware of legal and ethical implications, especially regarding investment advice and claims.

Tips to Maximize Value:


  1. Target Audience: Tailor the content to the knowledge level and interests of your target audience.
  2. Case Studies: Include relevant case studies or examples to illustrate key points.
  3. Collaboration: Consider collaborating with industry experts to add credibility and depth.
  4. Interactive Elements: For webinars, include interactive elements like Q&A sessions.
  5. SEO Optimization: For LinkedIn posts and other online content, use SEO strategies to improve visibility.
  6. Follow-up Content: Plan for follow-up content or discussions to keep the audience engaged over time.

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