ANALYST NET Company Report

MEDRx Co., Ltd.

4586

Growth

Issued: April 10, 2023

Now at Last Emerging from the Doldrums

Using proprietary technology in a niche market

Basic Report (revised)

MEDRx's business model involves the development of transdermal formulations

of the active components of existing oral and injection drugs, which development

Fair Research Inc.

it then licenses out to pharmaceutical companies, from whom it collects milestone

income and, after launch, royalties on sales. Compared to other drug discovery

Tsuyoshi Suzuki

businesses MEDRx's activities have a greater probability of success because of its

emphasis on existing active pharmaceutical agents, and, because of the niche

nature of its activities there are limited competitors, from whom it is in any case

Company Outline

distinguished by two proprietary technologies, ILTS® and NCTS®. It has also

developed a microneedle technology on which feasibility studies are now being

Location

Kagawa Pref.

performed to provide 'vaccine patches'

President

Yonehiro

Now finally emerging from the doldrums

ma

Matsumura

2022 was another lacklustre year for MEDRx, following that of 2021. In 2023,

Established

January 2002

however, it finally began its emergence from the doldrums. In the first place, in

March 2023 an application for authorisation of Lydolyte, a lidocaine tape

Capital

JPY227 mil.

preparation which the company hopes will be its first product to market, was re-

Listed

Feb. 2013

submitted after supplementary testing, Secondly, in March 2023, the company

finally retrieved from the Indian company, Cipla, all the rights to the tizanidine

URL

www.medrx.co.jp

preparation (CPN-101,MRX-4TZT) it had licensed out, after protracted

negotiations on proceeding to Phase-2, with MEDRx going it alone on Phase-2.

Industry

Pharma

MEDRx is strengthening its policy of "selective concentration" in the context of

limited resources. More specifically, it has made tizanidine tape (MRX-4TZT) the

Employees

22 (consol)

main focus of its development efforts in 2023, with BE tests for fentanyl tape

(MRX-9FLT) running in parallel. The company will additionally work on

Key Indicators (April 7 2023)

formulation improvements to its memantine patches (MRX-7MLL), putting back

Share price

170

PK tests until 2024 or beyond. Meanwhile, the status of diclofenac-lidocaine tape

(MRX-6LDT) for which the company expects blockbuster sales, is now on pause.

52-week low

91

Looking ahead, development will be promoted sequentially while narrowing down

the products to be developed.

52-week high

230

Value of four main product pipelines: JPY26.2billion (before tax)

Shares

30,695,100

On the basis of a number of assumptions we have calculated the total pipeline value

outstanding

of MEDRx's four main products (lidocaine tape, tizanidine tape, fentanyl tape,

Trading unit

100 shares

memantine patches) at JPY26.2billion (pre-tax). The market is currently valuing

MEDRx at around JPY5.5 billion in market value terms, meaning that using even

Market value

JPY5,218 mil.

the most conservative of assumptions there is a big gap between 4-product pipeline

present value (pre-tax) and market value. Despite signs of delay in pipeline

Dividend

0

development it seems the market is only discounting the value of the lidocaine tape

pipeline. The expectation is that through a process of "selective concentration"

Forecast EPS

-27.8

valuations will rise as development proceeds one step at a time. Additionally,

Forecast PER

na

Scilex, which sells lidocaine tape in the U.S., has a market capitalization of $1.2

billion, but direct comparisons are difficult since, in addition to a different pipeline

Actual BPS

40.71

portfolio, the company is listed via a SPAC, which tends to lead to excess

valuation, and there is speculation that it may expand its business by taking over

Actual PBR

4.18X

the good assets of its parent company, which is in financial difficulty.

On the basis of shares outstanding (excl

treasury

shares)

Revenue

YoY

Op. Profit

YoY

Rec,

YoY

Net

YoY

EPS

Share Price

Results

Profit

Earnings

JPY mil

JPY mil

JPY

High

Low

JPY mil

JPY mil

18/12 Actual

8

-95.8

-1,273

na

-1,267

na

-1,267

na

-126.7

2,060

425

19/12 Actual

169

1922.9

-1,627

na

-1,618

na

-1,616

na

-134.3

698

301

20/12 Actual

115

-32.2

-1,130

na

-1,149

na

-1,114

na

-68.6

426

160

21/12

Actual

8

-92.7

-1,061

na

-1,066

na

-1,059

na

-49.6

327

126

22/12

Actual

59

612.4

-1,098

na

-1,112

na

-1,111

na

-43.8

133

92

23/12

Forecast

127

214.9

-830

na

-783

na

-786

na

-27.8

1/26

This report is prepared by Fair Research Inc. (FRI) for the purpose of providing information to investors, and not for solicitation of securities trading. Although this is based on information and materials that FRI judges reliable, there is no guarantee of accuracy, credibility, completeness, suitability or timeliness. FRI shall not take any responsibility whatsoever for any results including direct or indirect damage arising from the use of, or reliance on, this report. Investors should take their own responsibility for securities and other transactions. The intellectual property rights of this report belong to FRI, and any copy, transmission or quote of any contents without permission is legally prohibited

MEDRx Co., Ltd 4586 Growth

Issued: April 10, 2023

Company Outline & Management Philosophy

A venture company engaged

In broad terms, the company is engaged in developing transdermal absorption

in developing

transdermal

formulations using the active ingredients of existing oral and injectable drugs. It licenses

absorption

medical

out these formulations to pharmaceutical companies, collecting milestone payments and,

formulations

after launching in the market, royalties on sales.

Transdermal absorption formulations make up a growing medium to long-term segment

of the pharmaceutical market. Among their attributes are maximisation of

pharmaceutical effect, reduced side-effects and better quality of life for the patient. These

attributes are achieved by the following:

  • Providing a consistent and sustained release of active ingredients: enabling the maintenance of a constant volume of the drug in the bloodstream.
  • Little or no first-pass effect: while the efficacy of orally administered drugs can be reduced to 10-20% on passage through the liver, this is not an issue in the case of transdermal absorption formulations.
  • Better medication compliance: suitable for patients who find it difficult to take drugs orally due to problems swallowing, and also reduces the problem of forgetting to medicate.

The company has proprietary

technologies, giving its products a higher probability of success than is possible for other new drug discovery businesses

  • Unlike drug delivery by injection, transdermal delivery is painless.
  • Transdermal delivery lends itself to a wide range of conditions.

The MEDRx business model is distinctive in two ways:

  1. It is low risk (i.e. high probability of success) because it does not involve the discovery or development of new active ingredients.
  2. The company has its own transdermal absorption technology using ionic liquids (ILTS®: Ionic Liquid Transdermal System), which distinguishes it from other companies.

Note: Ionic liquids are salts in liquid form at room temperature composed of ions which are resistant to crystalization. They are non-volatile, non- flammable and electricity conductive. In recent years these properties have led to applications in lithium battery electrolysis and elsewhere. With ILTS®, MEDRx was the first to develop the technology for the transdermal absorption of ionic liquids, thus facilitating the administration of drugs which are normally difficult to administer transdermally. With existing technology, transdermal absorption was difficult in the case of nucleic acid or macromolecular formulations, but ILTS® has made it much easier.

Source: MEDRx company briefing

2/26

This report is prepared by Fair Research Inc. (FRI) for the purpose of providing information to investors, and not for solicitation of securities trading. Although this is based on information and materials that FRI judges reliable, there is no guarantee of accuracy, credibility, completeness, suitability or timeliness. FRI shall not take any responsibility whatsoever for any results including direct or indirect damage arising from the use of, or reliance on, this report. Investors should take their own responsibility for securities and other transactions. The intellectual property rights of this report belong to FRI, and any copy, transmission or quote of any contents without permission is legally prohibited

MEDRx Co., Ltd 4586 Growth

Issued: April 10, 2023

The human skin is composed of the highly hydrophobic stratum corneum and the highly hydrophilic epidermal/ dermal layer. Highly hydrophilic active ingredients of drugs cannot permeate and diffuse in the stratum corneum. In ionic liquids, the anion or negative part (blue circle in the figure) is bonded to the hydrophilic group, and the cation or positive part (red in the figure) is bonded to the hydrophobic group. Such liquids thus have amphipathic properties (both hydrophilic and hydrophobic). Further, molecules do not move randomly as in ordinary liquids, but the structure is formed at the nano level when viewed from moment to moment. That is to say, the molecules that are ionic liquefied congregate (light blue elliptical and orange elliptical parts in the figure: alkyl congregation and clone congregation). According to the nanostructured fluid hypothesis, the active ingredients of a drug dissolve in an ionic liquid to a state analogous to enclosure in nanoparticles. The technique involved means that transdermal absorption of nucleic acids and high molecular weight drugs, which was difficult to achieve in the past, is now much easier.

Solids

Ionic Liquids

Liquids

Source: MEDRx company briefing

The company has a well- A notable feature of MEDRx's ILTS® is that it has built high barriers to entry. The endowed library of ionic company has a library of several hundred ionic liquids formed from combinations of liquids and this know-how compounds with a track record of use on human subjects as pharmaceuticals and presents a formidable barrier additives. The company also has extensive know-how on selecting ionic liquids for

to entryparticular drug properties, and formulation expertise on maintaining and improving the transdermal properties of ionic liquids.

The company's main target is The company's primary target is the US market for transdermal absorption formulations,

the US marketmainly because of the size of the potential market. The US makes up in excess of 40% of the global pharmaceuticals market and a high growth rate has been maintained in recent

years. MEDRx believes that the added value of new formulations, such as patch formulations (which provide increased efficacy, reduced side effects, improved quality of life and convenience, etc.) are likely to be reflected in drug prices.

Note: In Japan and Europe public insurance and public funds cover most medical costs and pharmaceutical prices are set by the state and thereby involve fiscal constraints. This means that, compared to the US market the added value of new formulations is not reflected in prices.

There are four product pipelines to which MEDRx has applied its proprietary ILTS® technology

The main products to which the ILTS® technology is applied are tizanidine tape (CPN- 101, MRX-4TZT), which has been successfully licensed out to Cipla Corp., lidocaine tape (MRX-5LBT), fentanyl tape (MRX-9FLT) and diclofenac-lidocaine tape (MRX- 6LDT).

3/26

This report is prepared by Fair Research Inc. (FRI) for the purpose of providing information to investors, and not for solicitation of securities trading. Although this is based on information and materials that FRI judges reliable, there is no guarantee of accuracy, credibility, completeness, suitability or timeliness. FRI shall not take any responsibility whatsoever for any results including direct or indirect damage arising from the use of, or reliance on, this report. Investors should take their own responsibility for securities and other transactions. The intellectual property rights of this report belong to FRI, and any copy, transmission or quote of any contents without permission is legally prohibited

MEDRx Co., Ltd 4586 Growth

Issued: April 10, 2023

A memantine patch using NCTS® technology has been developed

The company also has a transdermal absorption technology using nanocolloids (NCTS®: Nano-Sized Colloid Transdermal System). As mentioned earlier, the ILTS® technology is used in the transdermal absorption of macromolecular agents such as peptides and nucleic acids. The NCTS® technology, however, enhances transdermal absorption of relatively low molecular-mass agents by reducing pharmacologically active components to nano-sized colloids. Among products now at the development stage for which information has already been disclosed is MRX-7MLL, a transdermal absorption formulation using memantine (for the treatment of Alzheimer's), which can suppress the skin irritation which memantine usually causes.

NCTS® Nano-sized Colloid Transdermal System - Image

The company is working on microneedle arrays which can be used as "vaccine patches"

Source: Fair Research Inc, using company briefing materials

The company has also developed a technology using microneedle arrays as a sort of "vaccination patch". The microneedle technique works by using super-fine needles to open apertures in the surface of the skin, thereby allowing access to the drug. The skin not only acts as a physical barrier to foreign substances but also acts immunologically to expel such substances. Langerhans cells in the epidermis below the stratum corneum and dermis dendritic cells in the dermis below, are antigen-presenting cells which play an important role in biological defense. A strong immune response can be elicited by efficiently transmitting the vaccine antigen to these antigen-presenting cells.

However, the stratum corneum presents a barrier, so that vaccine applied to the skin does not penetrate. Microneedles transmit drugs into the skin by opening apertures in the epidermis with superfine needles. They are less than 1mm in length and do not reach the nerve, hence providing vaccination without pain. In other words, this method can be seen as a "vaccination patch".

Source: MEDRx company briefing, February 2021

4/26

This report is prepared by Fair Research Inc. (FRI) for the purpose of providing information to investors, and not for solicitation of securities trading. Although this is based on information and materials that FRI judges reliable, there is no guarantee of accuracy, credibility, completeness, suitability or timeliness. FRI shall not take any responsibility whatsoever for any results including direct or indirect damage arising from the use of, or reliance on, this report. Investors should take their own responsibility for securities and other transactions. The intellectual property rights of this report belong to FRI, and any copy, transmission or quote of any contents without permission is legally prohibited

MEDRx Co., Ltd 4586 Growth

Issued: April 10, 2023

Microneedles could be a promising means of tackling pandemics in developing countries

This business has important social ramifications. Not only does the 'vaccination patch' using minimally invasive microneedles entail less pain than an injection, but it can be patient-administered without the presence of the medical worker who would normally be involved. Additionally, microneedles to which solid vaccine antigens have been applied are very suitable for storage at room temperature and are easy to transport. This makes the technology a promising means of dealing with pandemics in developing countries that may have only a rudimentary medical environment.

Microneedle array technology - image

Source: Fair Research Inc. using various materials

5/26

This report is prepared by Fair Research Inc. (FRI) for the purpose of providing information to investors, and not for solicitation of securities trading. Although this is based on information and materials that FRI judges reliable, there is no guarantee of accuracy, credibility, completeness, suitability or timeliness. FRI shall not take any responsibility whatsoever for any results including direct or indirect damage arising from the use of, or reliance on, this report. Investors should take their own responsibility for securities and other transactions. The intellectual property rights of this report belong to FRI, and any copy, transmission or quote of any contents without permission is legally prohibited

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Medrx Co. Ltd. published this content on 20 April 2023 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 20 April 2023 07:33:07 UTC.