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Biotechnology—Sustainable Growth Opportunities in a Shifting Landscape Artisan Partners Global Equity Team ARTISAN PARTNERS Insights Biotechnology—Sustainable Growth Opportunities in a Shifting Landscape Artisan Partners Global Equity Team seeks to invest in companies By 2012—using sequencing technology—10 different subtypes had been demonstrating attributes we believe will lead to sustainable growth, discovered. By uncovering those genetic differences in the cancer cells, and that are further advantageously exposed to global secular trends or researchers can better tailor therapy discovery and development. themes. Here, we discuss investment opportunities in biotechnology, a subset of our technology theme. Greater understanding of human genetics is merely one of a host of scientific advancements that is enabling more targeted therapies with Biotechnology is itself a fluid term, with the line between biotech and fewer adverse side effects, better patient selection and ultimately, greater pharma increasingly blurring. For years, many traditional pharmaceutical clinical success. companies have relied to varying degrees on biotech company acquisitions to bolster their pipelines—increasing their exposure to Heightened R&D Productivity “biologics,” (i.e., large-molecule drugs based on naturally occurring Partly in acknowledgement of the heightened safety and efficacy of bodily proteins rather than the prior standard of chemically engineered, next-generation therapies, the US Food and Drug Administration (FDA) small-molecule drugs). Further, though biotech firms may once have has taken measurable steps to streamline and accelerate its review and represented a niche corner of the market, today, a cluster of biotechs approval process, particularly for therapies addressing serious conditions have emerged as mega caps, generating significant revenues. In the US, and showing early efficacy in trials. New drugs approved by the FDA the number of biotechs with annual revenues of at least $500 million reached a record high of 50 in 2014, and the average approval time for expanded from 7 in 2000 to 19 in 2014. drugs receiving the FDA’s newer “breakthrough therapy” designation in 2014 shrank to just 4 months. While biotech is becoming a more mature part of the market, the industry does still pose inherent risks, particularly when investing in early-stage Shorter approval times allow companies to more quickly bring their drugs to companies whose future earnings may hinge on the success of an initial market, widening their marketing lead time over competitors. Further, earlier pipeline drug. However, we believe a host of shifting dynamics makes FDA feedback during trial periods can lead to more predictable regulatory this an interesting time for investors with the expertise to navigate this outcomes and more efficient use of development budgets. For investors, complex industry. it can result in greater visibility into a company’s earnings growth potential. Scientific Advancements Evidencing this growing R&D productivity, Exhibit 1 compares the number Exhibit 1: FDA Approval Count vs. Total US Product Sales in Fifth Year After Launch Along with these shifts came the rise of bioinformatics—technology that point: for many years, breast cancer was known as a single disease. Then, somewhat by happenstance, about 25 years ago researchers discovered the first gene (HER2) associated with hereditary breast cancer. 28 13.6 6.4 4.3 $0 5.6 40 20 10 5.4 0 2014 8.3 50 30 11.3 10.5 9.2 2013 $5 7.4 8.5 26.1 18.3 26 26 14.1 12.7 $10 35 35 34 2012 26 31 2011 of patients who are more likely to benefit from a particular therapy. Case in $15 29 2010 correlated with certain types of diseases, allowing them to select subsets 35 32 2009 design. Now researchers can more precisely define the genetic mutations 33 38 2008 scientific approaches grounded in “rational” (as opposed to “random”) $20 43 2000 a molecular level has marked an industry turning point, enabling new $25 Sales ($ Billions) of sheer trial and error, a shift toward studying the causes of diseases at 50 US Sales in Year 5 After Launch NMEs + Biologicals Approved Source: EvaluatePharma® World Preview 2015, Evaluate Ltd, www.evaluate.com. NME stands for new molecular entity. Biotechnology—Sustainable Growth Opportunities in a Shifting Landscape FDA Approvals what was formerly a black box. While drug discovery was once the product 60 $30 mines troves of genetic data for patterns, in a sense cracking the lid on 2007 million in 2004, today it’s $1,000 and falling. estimated to have more than $800 million in sales in year five after launch. 2006 the industry. While the cost to sequence a human genome was about $29 success. For example, each of the top-10 new drugs approved in 2014 is 2005 technology—and a dramatic reduction in costs—are again transforming likelier to come to market where they can realize increasing commercial 2004 effective therapies. More than a decade later, advances in sequencing trends signal a new era of R&D productivity—one in which more drugs are 2003 causes of diseases—an important step toward designing more (post 2009) US sales in year five after launch (bars). We believe recent-year 2002 the greatest advancement to date in understanding the underlying of new FDA drug approvals in each year (line) to the actual or forecast 2001 The successful mapping of the human genome in 2003 signaled perhaps Sustaining this productivity trend will require substantial investment. Checkpoint inhibitors are one of several therapies falling under the And, encouragingly, emerging from a record-breaking fundraising year in category of biologics. Because biologics are based on living cells and are 2014 (Exhibit 2), biotechs are exceptionally well capitalized to develop and designed to mimic and influence naturally occurring bodily processes, scale their pipelines—the true industry growth engine. they hold the promise of affecting their targets, but without many of the toxic side effects of small-molecule chemotherapies. Furthermore, in Exhibit 2: Biotech Industry Capital Raised in US and Europe the case of checkpoint inhibitors, researchers believe that a revitalized $60 immune response can develop memory and build immunity against Total capital raise was up over 70% YoY in 2014. $ Billions $50 cancer recurrence, even long after therapies are administered. This $40 prospect—durable cancer cures—is the holy grail of cancer discovery. $30 Orphan Drugs $20 Therapies designed to treat rare (or “orphan”) diseases—e.g., those affecting fewer than 200,000 people in the US—have steadily gained market share, $10 and their sales pace is projected to grow at nearly double the rate of the Venture Debt 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 $0 Follow-on and Other IPOs Source: EY, BioCentury, Canadian Biotech News, Capital IQ and VentureSource. Select Investment Opportunities While opportunities are numerous, we’ve highlighted a couple of areas overall prescription drug market through 2020 (Exhibit 3). Because therapies in this category often target high-demand, life-threatening diseases with few or no alternative treatments (for example cystic fibrosis, muscular dystrophy and other life-threatening genetic diseases), they’re often more likely to receive expedited regulatory approval. At the same time, development costs are lower—the result of smaller trial sizes, government tax incentives and lower marketing costs. We believe advancements in genetic research will help narrow target patient populations even further, we find particularly interesting. helping bolster more targeted discoveries in these areas. Immuno-Oncology from the collateral damage of an overactive immune response. In recent years, researchers have discovered that certain of these checkpoints 2020 2019 2018 2017 2016 2015 2014 0% 2013 suppress the immune system in certain cases to protect healthy cells 2012 For example, the body relies on a number of “checkpoint” signals that 5% 2011 suppression of immune responses. 11.3% 10.3% 10% 8.9% 15.6% 14.3% 13.0% 2010 better understanding of the biology underpinning the activation and 15% 2009 of discovery, the tide appears to be turning as researchers gain a 20% 2008 highly proficient at evading the immune response. But after decades 19.1% 17.6% 2007 discovery has been bumpy. That’s partly because cancer cells are often 25% $200 $180 $160 $140 $120 $100 $80 $60 $40 $20 $0 Orphan Drug Sales ($ Billions) curing the US’s second-leading cause of death. To be sure, the path to 2006 immune system to fight cancer—holds tremendous promise toward Exhibit 3: Worldwide Orphan Drug Sales and Share of Prescription Drug Market Orphan Drug Sales (% of Total) The emerging field of immuno-oncology—harnessing the body’s own Worldwide Orphan Drug Sales ($ Billions) Orphan Drug Sales as a % of Total Drug Sales (Excluding Generics) (e.g., PD-1, PD-L1 and CTLA-4) are co-opted by cancerous cells to escape immune recognition. The discovery led to the creation of drugs Source: EvaluatePharma® Orphan Drug Report 2014, Evaluate Ltd, www.evaluate.com. capable of blocking these checkpoints (appropriately called “checkpoint Balanced Exposure inhibitors”), in turn energizing the body’s own immune response to recognize and attack tumors. As bottom-up investors, our sector exposures are the residual of our stock selection process rather than the result of allocation targets, and Biotechnology—Sustainable Growth Opportunities in a Shifting Landscape reflect the collective result of our pursuit for companies with sustainable competitive advantages, superior business models and high-quality management teams. Within the biotech and pharma industries, we seek a healthy balance of strong cash flow-generating companies, as well as companies that we believe have significant future earnings potential that is not yet reflected in their current share prices. In order to reduce the risk of binary outcomes—that the failure of a company’s first pipeline drug proves fatal—we typically only become interested in companies after they’ve generated some compelling trial results. We believe a discerning vFund: Exhibit 4: Biotech/Pharma Industry Weights (% of total portfolio equities) As of 31 December 2015 16% 14% 12% 10% 8% 6% 4% 2% 0% 4.5% Artisan Global Equity Fund investment process emphasizing a rigorous valuation and sell discipline should yield attractive growth opportunities in the years to come. 9.4% Biotech Pharma 2.3% 6.6% MSCI ACWI Source: Artisan Partners/FactSet (GICS)/MSCI. vStrategy: 16% 14% 12% 10% 9.4% Biotech 8% 2.3% Pharma | For more information: 6% 4% 6.6% 4.5% 2% Carefully consider the Fund’s investment objective, risks and charges and expenses. This and other important information is contained in the Fund’s prospectus and summary prospectus, which can 0% Visit www.artisanpartners.com be obtained by calling 800.344.1770. Read carefully before investing. Call 800.344.1770 Artisan Global Equity Strategy MSCI ACWI International investments involve special risks, including currency fluctuation, lower liquidity, different accounting methods and economic and political systems, and higher transaction costs. These risks typically are greater in emerging markets. Securities of small- and medium-sized companies tend to have a shorter history of operations, be more volatile and less liquid and may have underperformed securities of large companies during some periods. Growth securities may underperform other asset types during a given period. Portfolio Managers: Mark L. Yockey, Charles-Henri Hamker, Andrew J. Euretig. The views and opinions expressed are based on current market conditions as of 07 Dec 2015, which will fluctuate and those views are subject to change without notice. The views and opinions expressed are based on current market conditions at the time of publication, which will fluctuate and those views are subject to change without notice. While the information contained herein is believed to be reliable, there is no guarantee to the accuracy or completeness of any statement in the discussion. This material is for informational purposes only and should not be considered as investment advice or a recommendation of any investment service, product or individual security. Any forecasts contained herein are for illustrative purposes only and are not to be relied upon as advice or interpreted as a recommendation. MSCI All Country World Index measures the performance of developed and emerging markets. The index(es) are unmanaged; include net reinvested dividends; do not reflect fees or expenses; and are not available for direct investment. MSCI makes no express or implied warranties or representations and shall have no liability whatsoever with respect to any MSCI data contained herein. The MSCI data may not be further redistributed or used to create indices or financial products. This report is not approved or produced by MSCI. The Global Industry Classification Standard (GICS®) is the exclusive intellectual property of MSCI Inc. (MSCI) and Standard & Poor’s Financial Services, LLC (S&P). Neither MSCI, S&P, their affiliates, nor any of their third party providers (“GICS Parties”) makes any representations or warranties, express or implied, with respect to GICS or the results to be obtained by the use thereof, and expressly disclaim all warranties, including warranties of accuracy, completeness, merchantability and fitness for a particular purpose. The GICS Parties shall not have any liability for any direct, indirect, special, punitive, consequential or any other damages (including lost profits) even if notified of such damages. Artisan Partners Funds offered through Artisan Partners Distributors LLC (APDLLC), member FINRA. APDLLC is a wholly owned broker/dealer subsidiary of Artisan Partners Holdings LP. Artisan Partners Limited Partnership, an investment advisory firm and adviser to Artisan Partners Funds, is wholly owned by Artisan Partners Holdings LP. © 2016 Artisan Partners. All rights reserved. 1/15/16 – A16505L_vR