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Medivation (MDV soon to be MDVN on the Nasdaq) is testing its drug Dimebon. This drug may one day be an effective treatment for alzheimer's disease. Currently there is no cure for alzheimer's and the current treatments only slow the progression. Dimebon has the potential to temporarily stop the progression by inhibiting brain cell death. The company is in pre-clinical trials in the US and is at stage II trials in Russia. In early clinical trials, Dimebon has proved statistically effective in patients cognitive performance in 5 key areas with less side effects compared with current treatments.

This is a biotech company and thus it is very risky. There is a substantial risk in losing all money invested in this stock. With the high risk, however, comes high potential reward. Demographic trends are certainly working in favor of this drug including the current 4.5 million people in the US with alzheimer's. This number is expected to grow to 11 million by 2050. Also working in the company's favor is the lack of suitable treatments to cure or stop Alzheimer's disease.

The company was valued just for Dimebon for treatment of Alzheimer's. As icing on the cake, Dimebon is also being tested for Huntington's disease. Medivation also has another drug in the pipeline called MDV3100 for the treatment of prostrate cancer.

Company: Medivation
Trading Symbol: MDV / MDVN after 3/20
Date of Recommendation 3/13/2007
Risk Extreme
Stock Price as of Recommended Date 19.90
Fair Value 50
Discount of Price vs Fair Value: 60%
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Bears Say We Say
This company has no revenues and obviously no profit. How can this even be considered a value? Stocks can still be considered cheap even without current revenues. Assuming Dimebon obtains FDA approval, This stock has the potential for to make $2 billion in annual sales for 15 years starting in 2011. There are many risks that would prevent those potential sales - most notably an FDA rejection. However, the risk of the stock is incorporated in the cost of capital which is assumed to be 15%. The most important thing to consider in buying any speculative stock, including Medivation is that this stock might win big but the entire investment could be wiped out as well.
There is so much risk such as Medicare price caps, FDA rejection and competition with other new and existing alzheimer's drugs. With all the uncertainty it is hard to be comfortable with this stock. This stock will be volatile and those risks are real. However, there is a great need for an effective alzheimer's treatment as the population gets older. The potential rewards are enormous. The assumptions in the valuation model were in our view moderately conservative and the stock still looks undervalued.

The company burns cash at around $13 million a quarter. At this rate is will need to issue more shares to raise cash to meet its operating needs. These new shares will dilute the value of the existing shares. Undoubtedly the company will need to issue more shares to continue its operations. The company will not be expected to make any money until 2011 assuming it passess all the FDA hurdles. In the meantime it will need to issue more shares to fund its operations but that has already been accounted for in our valuation model with the negative cash flows during the clinical trials.



Assumptions
Expected Cash Burn Over Next 12 Months $27 million
Expected Rate of Cash Burn Growth / Year through 2010 10%
Expected Margins on Future Sales Growth Starting in 2011 50%
Number of alzheimer's patients in 2011 4.5 million
Expected Year of Patent Expiration 2026
Expected Dimebon Market Share for alzheimer's patients for years 2011-2026 20%
Assumed monthly drug price the 2011-2026 period per patient $180
Assumed number of months of treatment per patient 12 Months - The company has tested a 6 month treatment and will test the 12 month treatment as well. The longer the treatment the more valuable the stock
Cost of Capital 15%