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feature

Financing

drug

discovery

via

dynamic

leverage

VahidMontazerhodjat1,2,JohnJ.Frishkopf3andAndrewW.Lo1,2,4,5,[email protected]

We

extend

the

megafund

concept

for

funding

drug

discovery

to

enable

dynamic

leverage

in

which

the

portfolio

of

candidate

therapeutic

assets

is

predominantly

financed

initially

by

equity,

and

debt

is

introduced

gradually

as

assets

mature

and

begin

generating

cash

flows.

Leverage

is

adjusted

so

as

to

maintain

an

approximately

constant

level

of

default

risk

throughout

the

life

of

the

fund.

Numerical

simulations

show

that

applying

dynamic

leverage

to

a

small

portfolio

of

orphan

drug

candidates

can

boost

the

return

on

equity

almost

twofold

compared

with

securitization

with

a

static

capital

structure.

Dynamic

leverage

can

also

add

significant

value

to

comparable

all-equity-financed

portfolios,

enhancing

the

return

on

equity

without

jeopardizing

debt

performance

or

increasing

risk

to

equity

investors.

Introduction

Newadvancesinbiologyandbreakthroughsin geneticresearchhavepresentedthe biotech-nologyandpharmaceuticalindustrywithahost ofpromisingnewtargetsandcompoundsto treatarangeofdiseases.However,thedrug developmentprocessremainsunderfunded, withinvestorsshiftingcapitaltoothersectors becauseofmediocrereturnsonperceived high-investmentrisk.Acomparisonoffive-year per-iodsbeforeandaftertherecentfinancialcrisis (2004–2008versus2009–2013)showsthattotal fundingofdrugR&Ddropped21%,from US$21.5billiontoUS$16.7billion[1].Between 2004and2012,fundingfortheNational Insti-tutesofHealth(NIH)declinedby1.8%peryearin realterms[2].Althoughfundingseemstobe improvingoverthepastyearinresponsetoa numberofprominentbiotechinitialpublic offerings,thecapitalinflowsarehighly

concentratedamongafewlargedeals,andthe numberofnewstartupsisnotincreasing[3].In fact,thelackoffundingisparticularlyseverein early-stagedevelopment,beforePhaseIIclinical trials.Forexample,between2004and2011, fundingforprehumanpreclinicalR&Dinthe pharmaindustrydeclinedby2.3%peryear[2]; 2013sawonly63first-timeSeriesAfinancingsin biotechnology,almost30%lowerthanthepeak of89in2006andthelowestlevelinadecade[1]; andthenumberofactiveUSbiotechventure capitalfirmsdeclinedfrom201in2008to138in 2014[4].

Fernandezetal.[5]proposeda‘megafund’ financingapproach,applyingportfoliotheory andsecuritizationtechniquestoreducethe riskandenhancetheexpectedreturnsofa groupofinvestmentsindrugdevelopment projects.Unlikeatraditionalventurecapital fund,themegafundissuesequityanddebt

(‘research-backedobligations’orRBOs),and theportfolioofprojects–candidatedrugs, licensingagreementsandotherintellectual property–serveascollateralfortheRBOs.This approachdiversifiesthetypicallybinarydrug investmentresultsacrossaportfolioof thera-peutics,smoothingtheportfolio’spayoutand reducingthevolatilityofitsreturns. Securitiza-tionalsochangesthewaythatcashflows aredistributedfromapoolofbiomedical projects,allowingabroaderarrayofinvestors toparticipateintheriskandexpectedreturn ofdrugdevelopmentaccordingtotheirrisk appetite.

However,issuingsecuritizeddebtgenerally requirescollateralthatgeneratesareliableand well-understoodstreamofcashflowssuchasan approveddrug.Investmentsinearly-stage bio-medicalprojectsusuallyyieldnocashflowuntil theyreachPhaseIIband,eventhen,theyprovide

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cashonlysporadically(e.g.whentheyare out-licensedorsold).Theunpredictabilityofthe amountandtimingofthesecashflowssuggests thatthemegafundisimpracticalforportfolios exclusivelyfocusedonearly-stagedrug discov-eryanddevelopment.

Inthisarticle,weextendtheconceptofthe megafundtoallowfortime-varyingamountsof debtor‘dynamicleverage’,whichcan accom-modatethestartupphaseofafundfocused purelyonpreclinicalR&Dandearly-stage translationalmedicine.Dynamicleverage adjuststheamountofdebtthatasecuritization vehiclecansustain,basedonparametersrelated toitsdefaultprobability(thelikelihoodofthe entitybeingunabletomeetitspayment obli-gationsonatimelybasis).Itisdirectlytiedtoa secondconcept,‘dynamicriskmeasurement’,in whichthedefaultriskofabondisperiodically measuredviacertaincreditmetricsand perfor-manceindicators.Together,dynamicrisk mea-surementanddynamicleverageenableusto constructatime-varyingsecuritizationstructure thatreflectstheevolvingnatureoftheportfolio’s assetsandoptimizesthefund’scapitalstructure accordingly.

Dynamicleverage

Dynamicleverageismotivatedbyasimple ob-servation:asaportfolioofbiomedicalprojects progressesitsriskshoulddecrease.Therefore, theamountofdebtofagivendefaultprobability thatcanbesupportedbythisportfolio,asa percentageofthetotalinvestedcapitalrequired, shouldincrease,effectivelydecreasingthe amountofequityrequired.Becausecostofdebt (assumedtobe5–8%here)islowerthancostof equity(usuallyinthe15–30%range),the sub-stitutionofequitybydebtyieldsanincreasein returnonequity.Thisdefaultprobability corre-spondstoaratingbyaNationallyRecognized StatisticalOrganization(NRSO)suchasMoody’s InvestorsServiceorStandard&Poor’s.The de-faultprobabilityisalsoreferredtoasasolvency standard,whereasthedebtasapercentof capitalisreferredtoasanattachmentpoint.

Atanypointduringthelifeofthefundthereis solvencyrisk,theriskthatthevehiclehas in-sufficientcashtomakescheduledinterestand/ orprincipalpayments.Foreachratingcategory thereisanassociatedsolvencystandardthat specifiesthemaximumacceptableriskof in-solvencyforthatratingclassuntilthenotesare repaid–seeTableS1,providedbyMoody’s InvestorsService[6](SupplementaryMaterial online).Theriskiscalculatedbyexaminingallof thepotentialoutcomes,anddeterminingwhat percentageoftheseoutcomesresultsinan

insolvencyevent.Therefore,theriskisrelatedto ameasureofthevolatilityoffuturecashflows. Foranygivenratingtranchethevolatilityof thecorrespondingcashflowscanchangeover time,andthereforetheinsolvencyriskcan change.Twofactorsdeterminethepotentialfor changeininsolvencyrisk.Theprimaryfactoris whetherthedrugdevelopmentprocessis pro-ceedinginaccordancetoanexpectedplan(orto themeanofallpossibleoutcomes)ateachtime instant.Iftheperformanceisaheadoftheplan, thentheprobabilityofinsolvencyshouldbe lowerthantheassumedvalue.Infact,ifthe performanceisonplan,theprobabilityshould beloweraswellbecausethedispersionoffuture pathshasnarrowed,loweringtheeffective vol-atility.Thesecondfactoristhepossibilitythat volatilityhasincreasedbecauseofchangesin externalfactors,e.g.,theenvironmentor im-proveddataandforecasts.However,thisclassof exogenouseventsisoutsidethescopeofthis paper.Formoredetailsandanillustrative ex-ampleondynamicleverageseeSupplementary Materialonline.

Dynamicmeasurementcanbemademore precisebyemployingadaptivetrials,during whichtheposteriorprobabilityofsuccessis continuouslyupdated;hence,theamountof debtcanbeadjustedaccordingly.However,for simplicitywedonotuseadaptiveclinicaltrialsin ourmodel.Dynamicriskmeasurementisnot onlyusefulindeterminingdynamicleveragebut inanyapplicationinwhichchangesinriskhavea materialimpact.Forexample,inafinancing structurethatemploysguarantees,the guaran-teefeecanbeadjusteddynamicallybasedon theriskprofileoftheportfolioovertime.

Dynamicleverageforanorphandrugfund

Forconcreteness,weusethestatisticalmodel describedin[7]toillustratedynamicrisk mea-surementanddynamicleverage.Thefocusof Fagnanetal.[7]onorphandrugstargetingrare diseasesisparticularlywell-suitedfordynamic leveragebecausethesetherapiesarerelatively newandnotlikelytobeabletogeneratemuch cashflowatfundinception.Tohighlighttherole ofdynamicleverageweemploytheidentical orphandrugparametersasinFagnanetal.[7]. Following[5,7],adiscrete-timefinite-state Mar-kovchainisemployedtomodeltheevolutionof eachcompoundthroughthedevelopment cy-cle.Theassumptionsregardingtheaveragecost, successrate,durationandvaluationofeach phasearelistedinTable1.Underthese assumptions,consideranRBOstructureto fi-nanceaportfolioofinvestigationaltherapeutics throughtheirdevelopmentcycle.Inexchange

forapledgeofthefutureroyaltycashflows, equityanddebtinvestorspurchasenotesand receiveaportionofthesecashflowstreams.

OursimulatedRBOportfoliocomprisesnine compoundsinthepreclinicalstageandten compoundsintheclinicalPhaseIstage.The employedcapitalstructureiscomposedofone equitytrancheandtwodebttranches,namely mezzanineandseniortranches.Theinitial amountsofcapitalfortheequity,mezzanineand seniortranchesareUS$373.75million,US$30 millionandUS$25million,respectively,andthe annualcouponratesforthemezzanineand seniordebttranchesare8%and5%, respec-tively.Thematuritydatesfortheseniorandthe mezzaninetranchesarefourandsixyears, re-spectively,andtheoutstandingbalanceofeach trancheispaidinfourequalinstallmentsover thetwoyears(foursemesters)precedingthe maturitydates.After13semesters(6.5years),the portfoliooftheremainingcompoundsis liqui-dated.Assumingthatthedrugsaletakesayear tosettle,thecashproceedsfromthesalegoto theequityinvestorsinthefifteenthsemester. Furthermore,anycompound,uponreachinga pre-specifiedtargetphase(PhaseIIIinthe simulations),getssoldregardlessofhowfarinto thelifeofthefunditis.

Astheportfolioofcompoundsprogressesand itsriskdecreasesovertime,thesizeofthedebt tranches–andthereforetheleverage–canbe adjustedtomaintainadesiredprobabilityof defaultforeachtranche.Forsimplicity,the tranchesizeadjustmentinthesimulationsis performedonlyforthemezzaninetranche,and upuntilthejuniorbondsstartprincipal repay-ment(i.e.untilthefourthyear).Figure1 illus-tratestheexpectedsizeofeachtrancheaswell asthetotalcapitaldeployedintheportfolio, fromtheequityandbondinvestors,overtime.

SeveraltrendsinFig.1areworthnoting.As seeninTable1,thecompoundsneed progres-sivelylargeramountsoffundingastheyproceed intheirdevelopmentcycle.Ifthetotalrequired capitalisraisedinitsentiretyatthebeginningof thefund’slife,inanticipationthatthe com-poundswillfollowtheirexpectedpathof de-velopment,itwillimposeadragonthefund’s returns.Shouldthiscapitalberaisedbycalling moreequity,thereturnontheequitytranche wouldbediluted.Alternatively,ifthefinancing structurekeepstheleveloftheinvestedequity constant,issuingmoredebtatthebeginningto meettheexpectedneedsoffuturedrug devel-opment,theprobabilityofdefaultforthedebt trancheswouldinevitablyincrease.Inthis ap-proach,usedin[7],theprobabilityofdefault increasesbecausethedeteriorationinportfolio

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valueleadstomoredebt,whereastheequityis thesameasbefore.Therefore,theprobabilityof defaultandthemagnitudeoflosswillincreaseif moredebtisissuedatfundinception.

Dynamicleveragecanmitigatethisissue. Specifically,themezzaninetrancheshould in-creaseinsizeovertimetoprovidethecapital requiredtofundthedevelopmentofthe com-poundsmovingforwardintheirdevelopment cycle.Thisisdoneonlyifraisingmoredebtdoes nothurttheprobabilityofdefaultforthejunior notes(i.e.ifitdoesnotincreasethesolvency risk).Hence,theincreaseinthemezzanine trancheisslowinearlierperiods,whentheriskof theportfolioisrelativelyhigh,andthedebt utilizationacceleratesastheportfoliomoves forwardintimeandriskisreduced.

AsecondtrendseeninFig.1relatestothesize oftheequitytranche,whichdecreasesovertime. Thisisduetodistributionsmadetotheequity investorswhentheportfolioisonorabovethe expectedpath.Thesedistributionscomefrom thesaleofthosecompoundsthathavereached theirtargetphaseofdevelopment,andfroma portionofthedebtraised.MATLABcodewith

anopen-sourcelicenseisprovidedin Supple-mentaryMaterialonlinetoallowreaders to examinethespecificsofhowthetranchesizesare determinedateachtime,and/ortousedifferent valuesforparametersusedinthemodel.

Astheriskoftheportfoliodecreases,wecan replaceanever-increasingamountofequitywith debttoyieldahigherrateofreturntotheequity investors.Thiscanbeachievedwithout jeopar-dizingthesolvencyoftheportfolio,ascanbe observedinTable2,wherethesimulated expectedannualizedinternalrateofreturn(IRR) ismorethan25%,andtheprobabilitiesof de-faultfortheseniorandmezzaninetranchesare lessthan0.1bpsand36.2bps,respectively. Theseprobabilitiesofdefaultandtheexpected losses,reportedinTable2,overthelifehorizon oftheseniorandjuniornotesarecomparableto thatofAAA/AaaandA+/A1ratednotes, re-spectively(TableS1inSupplementaryMaterial online).

Comparisontoall-equityfinancing

ThethirdcolumnofTable2,‘All-EQ1’,compares theRBOstructurewithanequitystructurein

whichaportfolioofsevencompoundsinthe preclinicalstageandsixcompoundsinPhaseIis fundedusingthesamelevelofequityasusedin theRBOstructure(i.e.US$373.75million).As observedinTable2,fewercompoundscanbe financedduringthelifeofthefundunderthe equitystructurecomparedwiththeRBO port-foliobecausethereisnoadditionalinjectionof capitalintotheequityportfolioaftertheinitial equitydraw.Thescientificimpactoftheequity structureis,consequently,smallerthanthatof theRBOportfolioasmeasuredbythenumberof thecompoundsthataresoldinPhasesIIandIII. Notonlyisthescientificimpactsmallerinthe equitystructure,butalsothereturn character-isticsoftheequitytranchearenotaspromising asthoseoftheRBOstructure.Owingtothedebt issuanceovertime,intheRBOcase,moreequity isreturnedtotheinvestorsearlier.Incontrast, intheequitystructurethereturnofcapitalto theequityinvestorsisconstrainedbythe speedwithwhichthecompoundsreachthe targetphaseandaresold.

ThefourthcolumninTable2,‘All-EQ2’, comparestheperformanceoftheRBOfundand theperformanceofthesameportfolioof com-poundsfinancedbyequityalone.Theamountof equityusedtofinancethisportfolioismatched tothepeakvalueofthetotalcapitaldeployedin theRBOstructure(i.e.US$510.70million)as observedinFig.1.Thislevelisalmost37%more thantheRBO’sinitialequitylevelofUS$373.75 million.AsisseeninTable2,thescientificimpact ofthisnewequitystructureisthesameasthatof theRBOstructure.However,thefinancial per-formanceoftheequitystructureisstillless promisingthantheperformanceoftheRBO becausemoreequityisdeployedintheequity structurethanintheRBOstructure.Theonlyarea inwhichtheequityportfoliooutperformsthe RBOportfolioistheprobabilityofnegative returnsontheequity.Intheequitystructure, thereisa10.3%chanceofdeliveringanegative returntotheequityinvestors,whereasthis chanceis10.6%fortheRBOportfoliobecause theequitytrancheintheRBOstructureisthefirst TABLE1

Simulationparametersfororphandrugdiscoveryanddevelopment

Phase Cost(US$millions) Successrate(%) Duration(years) Valuation(US$millions)

Preclinical 5 69 1.00 7.1 PhaseI 5 84 1.66 27.6 PhaseII 8 53 2.09 75.6 PhaseIII 43 74 2.15 321.5 NDA – 96 0.80 701.9 APP – – – 817.6 600 400 200 0 –200 –400 –600 –800 –1000 –1200 Senior Mezzanine Equity Total liabilities 1 3 5 7 9 11 13 15 Time (periods) Millions of US dollars

Drug Discovery Today

FIGURE1

Capitalstructureandtotaldeployedcapitalinthefundforeachsix-monthperiod.

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toabsorbanycapitallosses.Forthesamereason, theprobabilitythattheequityiswipedout[i.e. Pr(IRR= 100%)]islargerfortheRBOportfolio comparedwiththeequity-financedportfolios. However,theupsideoftheRBOportfolioismuch higherthanthatoftheequityportfolios,as measuredbytheright-tailprobabilitiesoftheir returnsreportedinTable2[i.e.Pr(IRR>10%) andPr(IRR>25%)].

Itisclearthataddingdynamicallyleveraged debttothepicture,whenfeasibleandasneeded tofunddrugdevelopment,canenhancethe scientificandthefinancialimpactofthe port-foliowithlittledownsiderisk.Furthermore,ifthe effectofdynamicleveragewerereplicatedusing anequity-financedportfolio,theamountof re-quiredequityupfrontwouldbesignificantly larger(almost37%moreinitialequitythanthe RBO’sinitialequityasobservedinTable2).

Comparisonwithstaticcapitalstructure

Forcomparison,theperformancestatisticsofthe RBOstructurewithastaticcapitalstructure, whichwasusedin[7],arereportedinthelast columnofTable2,labeled‘StaticRBO’.The dynamicRBOclearlyoutperformstheRBOwith astaticcapitalstructurefromscientificand financialperspectives.Thisperformance supe-riorityisachievedwithoutjeopardizingthe debtperformance.Notonlydoesdynamic leverageincreasethereturnonequitybutit alsohelpsreducetheprobabilityofdefault forthebondholdersincomparisontoastatic TABLE2

PerformanceresultsfortheRBOportfolio,twoequity-financedportfoliosandthestatic RBOportfolio

RBOa All-EQ1a,b All-EQ2a,b StaticRBOc Numberofcompoundsacquired

Preclinical 10 7 10 8

PhaseI 9 6 9 8

Researchimpact

CompoundssoldinPhaseII 2.6 1.8 2.6 2.2

CompoundssoldinPhaseIII 5.5 3.8 5.5 4.7

Liabilities(US$millions)

Capital 428.75 373.75 510.70 575.00

Seniortranche 25.00 – – 86.25

Initialmezzaninetranche 30.00 – – 115.00

Equitytranche 373.75 373.75 510.70 373.75

Equitytrancheperformance

ExpectedannualizedIRR 25.1% 20.7% 22.0% 13.4%

Pr(IRR= 100%) 38.4bps <0.1bps <0.1bps 60bps

Pr(IRR<0%) 10.6% 14.5% 10.3% 13.1%

Pr(IRR>10%) 77.3% 69.8% 74.6% 66.7%

Pr(IRR>25%) 49.8% 39.9% 42.0% 18.4%

Debttranchesperformance Seniortranche Probabilityofdefault <0.1bps – – 0.8bps Expectedloss <0.1bps – – <0.1bps Mezzaninetranche Probabilityofdefault 36.2bps – – 56.0bps Expectedloss 9.1bps – – 15.0bps

Abbreviations:RBO,research-backedobligations;Pr,probability;IRR,internalrateofreturn;bps,basispoints (1bp=0.01%).

a

Allreportednumbersareobtainedusing20,000,000MonteCarlosimulationpathsforeachportfolio.

b

All-EQ1isanequity-financedportfoliowheretheinitialinvestmentissetequaltotheinitialamountofequityintheRBO portfolio,whereasAll-EQ2isanotherequity-financedportfoliowheretheinitialinvestmentissettothemaximumamount ofcapitalintheRBOportfolio(Fig.1).

c

ForstaticRBO,seeFagnanetal.[7].

30 25 20 15 10 5 40 30 20 10

Expected annualized IRR (%)

Correlation, ρ (%) –20

–10 0

10 Change in the value of

approved drug (%) 28 26 24 22 20 18 16 14 12 10 8 30 25 20 15 10 5

Expected annualized IRR (%)

–25 –20 –15 –10 –5 0 5 10 Change in the value of approved drug (%)

ρ = 10% ρ = 15% ρ = 20% ρ = 25% ρ = 30% ρ = 35% ρ = 40% (a) (b)

Drug Discovery Today

FIGURE2

Expectedannualizedinternalrateofreturn(IRR)fortheresearch-backedobligation(RBO)andequitystructures.Thetexturedshadingin(a)andthesolidlinesin (b)correspondtotheRBOstructure.

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capitalstructure.Thisisachievedbecauseless debtisborrowedinitiallyandmoredebt issu-ancehappensovertimeonlyiftheriskofthe portfoliopermitstakingsuchaction. Further-more,becausetheprobabilityofdefaultis smallerforthisdynamiccapitalstructure thanthestaticRBOusedin[7],thevolatility ofthereturnonequityisconsequentlysmaller too.

Robustnessanalysis

Wechecktherobustnessofourresultsby varyingtwokeyparameters:thevalueofthe approveddrug(thebottomrightentryinTable 1)andthecorrelation(r)oftheassetvalues. Wheneverapplicable,wealsoconductthesame testsononeoftheall-equity-financedportfolios introducedearlier,All-EQ2,todistinguishthe roleofunder-andover-borrowingfromtherole thatassetmispricingplays.Thedetailsare reportedintheSupplementaryMaterialonline, andtheyyieldtwokeyobservations.First,the dynamicRBOportfoliomaintainsanacceptable performanceoverawiderangeofcorrelations andexpectedapprovalvalues.Second,the dy-namicRBOportfoliooutperformsthe all-equity-financedportfoliooverawiderangeof corre-lationsandassetvaluesunlessthepresumed valuesfortheparametersofthemodelarefar moreoptimisticthantheirrealizedvalues.Inthis case,theincorrectlydeterminedhighleveragein thedynamicRBOfundwouldexacerbatethe fund’spoorperformancecomparedwiththe all-equity-financedportfolio.

ThesefindingsaresummarizedinFig.2,which showsthattheequityperformanceoftheRBO fund–measuredbyitsIRR–issuperiortothatof theall-equity-financedportfoliooverawide rangeofcorrelation(r)andexpected-approval values.Theequity-financedportfolio,however, outperformstheRBOportfolioforlarge corre-lations(e.g.r=40%)andsmallapprovalvalues (e.g.iftherealizedapprovalvalueis25%less thantheassumedvalue).Forfurtherdetailsand acomparisonofotherperformancemeasures seeSupplementaryMaterialonline.

Concludingremarks

Theapplicationofportfoliotheoryand securi-tizationtechniquestofinancingdrug develop-menthasthepotentialtobeadisruptive technology.Inthispaperweproposeamore efficientstructureandhigherreturnstoequity forinvestorsbyaddingdynamicleverage,a novelsecuritizationtechnique,tothemegafund structureproposedin[5,7].Thereare,ofcourse,

anumberofpracticalchallengestolaunching andmanagingamegafund.Acomprehensive discussionofthesechallengesisbeyondthe scopeofthisarticle,butweaddresssomeofthe mostpressingissuesintheSupplementary Materialonlinesuchashowthefundwould bemanaged,whethertheparameterswehave assumedarerealisticandhowexisting bond-holdersmightreacttoincreasesinleverage. Severalotherrecentstudiesoffermore-detailed analysisofthesechallengesandhowtheycanbe addressed[8–13].

Themainfindingofourstudyisthatafund incorporatingdynamicleveragerequiresless upfrontequitytofinancethedevelopmentof thecompoundsintheportfoliothanprevious implementations,andgenerateshigher returns withsimilar risksofdefaultand loss. Furthermore, thevolatilityofequityreturnsis lowercomparedwithamegafundstructure withastaticcapitalstructure.Borrowingmore debtovertime doesnotadverselyaffect the scientificoutcomebecause,inthedynamically leveraged approach,theadditionaldebtis onlyneedediftheportfolioisonitsexpected path.

Dynamicleveragemagnifiespositiveand negativeperformance.Iftheactualperformance oftheportfolioofprojectsisbetterthan indi-catedbypriorassumptions,thenthefundwith dynamicleveragewilloutperforman equity-financedportfolio.Iftheportfolio underper-forms,however,thentheequity-fundedportfolio willperformbetter.Thisresultisexpected,given thenatureofleverage.Thehighervolatility(risk) ofequityreturnsinamegafundwithdynamic leverage,ascomparedwithan all-equity-fi-nancedportfolio,isaccompaniedbyahigher expectedequityreturn.Nevertheless,iffurther securitizationtechnologiesareintroduced intothepharmaceuticalportfoliostructure weexpectcommensurateimprovementsto equityreturns.

Acknowledgments

ResearchsupportfromtheMITLaboratoryfor FinancialEngineeringisgratefully

acknowledged.WethankJaynaCummings,Alex Danehy,MichaelEisensteinandAndrew Goldsmithformanyhelpfulcommentsand discussion.Theviewsandopinionsexpressedin thisarticlearethoseoftheauthorsonly,anddo notnecessarilyrepresenttheviewsandopinions ofanyinstitutionoragency,anyoftheiraffiliates oremployeesoranyoftheindividuals acknowledgedabove.

AppendixA. Supplementarydata

Supplementarymaterialrelatedtothisarticle canbefound,intheonlineversion,athttp://dx. doi.org/10.1016/j.drudis.2015.12.004.

References

1 Thomas,D.andWessel,C.(2015)Venturefundingof therapeuticinnovation:acomprehensivelookata decadeofventurefundingofdrugR&D.Biotechnology IndustryOrganization

2 Moses,H.,Matheson,D.,Cairns-Smith,S.,George,B., Palisch,C.andDorsey,E.(2015)Theanatomyofmedical research:USandinternationalcomparisons.JAMA313, 174–189

3 Booth,B.(2015)Theventurefundingboominbiotech:a fewthingsit’snot.Availableat:http://www.forbes.com/ sites/brucebooth/2015/07/23/the-venture-funding-boom-in-biotech-a-few-things-its-not/

4 Huggett,B.(2015)Biotech’swellspring–asurveyofthe healthoftheprivatesectorin2014.Nat.Biotechnol.33, 470–477

5 Fernandez,J.-M.,Stein,R.M.andLo,A.W.(2012) Commercializingbiomedicalresearchthrough securitizationtechniques.Nat.Biotechnol.30,964–975

6 Moody’sInvestorsService(2014)Ratingmethodology: Moody’sglobalapproachtoratingcollateralizedloan obligations.

7 Fagnan,D.E.,Gromatzky,A.A.,Stein,R.M.,Fernandez, J.-M.andLo,A.W.(2014)Financingdrugdiscoveryfor orphandiseases.DrugDiscov.Today19,533–538

8 Fagnan,D.E.,Fernandez,J.-M.,Lo,A.W.andStein,R.M. (2013)Canfinancialengineeringcurecancer?Am.Econ. Rev.103,406–411

9 Fagnan,D.E.,Yang,N.N.,McKew,J.C.andLo,A.W. (2015)Financingtranslation:analysisoftheNCATS rare-diseasesportfolio.Sci.Transl.Med.7,276ps3

10Lo,A.W.andNaraharisetti,S.V.(2014)Newfinancing methodsinthebiopharmaindustry:acasestudyof RoyaltyPharma,Inc..J.Invest.Manag.12,3–19

11 Forman,S.,Lo,A.,Shilling,M.andSweeney,G.(2015) Fundingtranslationalmedicineviapublicmarkets:the businessdevelopmentcompany.J.Invest.Manag.13,1–24

12David,F.,Bobulsky,S.,Schulz,K.andPatel,N.(2015) Creatingvaluewithfinanciallyadaptiveclinicaltrials. Nat.Rev.DrugDiscov.14,523–524

13Schulz,K.,Bobulsky,S.,David,F.,Patel,N.and Antonijevic,Z.(2015)Drugdevelopmentandthecost ofcapital.InOptimizationofPharmaceuticalR&D ProgramsandPortfolios:DesignandInvestmentStrategy (Antonijevic,Z.,ed.),pp.35–48,Springer,NewYork

VahidMontazerhodjat1,2 JohnJ.Frishkopf3 AndrewW.Lo1,2,4,5,* 1

MITLaboratoryforFinancialEngineering,Sloan SchoolofManagement,Cambridge,MA,USA

2

MIT Department of Electrical Engineering and ComputerScience,Cambridge,MA,USA

3NewStarFinancial,Inc.,Boston,MA,USA 4

MITComputerScienceandArtificialIntelligence Laboratory,Cambridge,MA,USA

5AlphaSimplexGroupLLC,Cambridge,MA,USA

*Correspondingauthor.

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