Bioxytran
Bioxytran
(BIXT)
We are initiating coverage on BioXyTran, Inc. (BIXT) with a Previous Recommendation Initiation Report
target price of $2.64 per share. Bioxytran, Inc., formerly U.S. High
Risk Rating
Rare Earth Minerals, Inc., is a developmental stage
biotechnology company, focused on developing treatments for Current Share Price (07/22/2019) $1.30
hypoxic conditions such as stroke and ischemia that are a 85.1 M
Shares Outstanding
result of an inadequate blood supply to the organs. It has an
oxygen delivery platform that can treat victims with brain 12 Month Price Target $2.64
stroke trauma. The Company’s lead drug candidate, BXT-25, Total Return (Capital + Yield) 203%
is a glyco-polymer that acts as an anti-necrosis drug, by
carrying oxygen to tissues even when the flow of blood is DCF Valuation $.2.64
blocked and can reverse hypoxia (oxygen deficiency). Another Market capitalisation $110.6 M
drug candidate from Bioxytran, BXT-252, is designed to treat
chronic wounds resulting from ischemia caused by occlusion Average Volume 2,422
of capillaries. 52-Week High/Low $0.20 – $1.95
Overcoming the Biggest Challenge in Stroke Treatment Y/e FY FY18A ....FY26F FY27F FY28F
The Company continues to focus on developing BXT-25, the - 7.36 19.02 27.36
Revenue ($ in M)
only ambulatory treatment which can overcome the problem of
% Growth (Y-o-Y) - (1.4%) 158.4% 43.9%
a minuscule 3-hour treatment window available for victims of
stroke. With an exclusive licensing agreement with MDX EBITDA Margin (%) - 80.8% 92.4% 94.5%
Lifesciences for its MDX viewer, the gold standard for EBIT ($ in M) (0.05) 5.76 16.95 24.64
measuring brain tissue and oxygen recovery status, the PAT ($ in M) (0.05) 4.32 12.96 18.73
Company is not only on an accelerated pathway for the
PAT Margin (%) - 58.7% 68.2% 68.5%
approval of its drug from the FDA, but also poised to capture
a majority share of the multibillion-dollar global stroke market. EV/Sales (x) - 13.3 5.2 3.6
EV/EBITDA (x) - 16.5 5.6 3.8
Other Potential Drugs in the Pipeline
P/BV (x) - 3.3 2.9 2.1
Bioxytran plans to adopt a multipronged strategy by
developing sub-classes of BXT-25 for numerous application RoCE (%) - 20.1% 50.1% 58.0%
such as wound-healing and organ transplantation. Its clinical Source: Company, Avise Analytics Estimates
pursuits are aimed at capturing a large market share of the
anti-necrotic drug space with special focus on hypoxia.
Risks
Proven Track Record of Dr. David Platt
• Bioxytran plans to initiate pre-clinical studies of BXT-25 soon.
With Dr. David Platt, an expert in carbohydrate chemistry with
But such clinical drug development process are expensive,
a decade long management experience at its helm, BioXytran
time-consuming and uncertain.
is on an accelerated path to emulating his earlier successes.
Dr. Platt’s various achievements include a portfolio of patents, • Failure to raise additional funding may adversely impact the
distinction of uplisting two companies from OTC to NASDAQ management’s planned R&D initiatives.
and creating a value of nearly $1 billion for the investors • Failure to secure FDA approval may delay or impair the
through three publicly traded companies. Company’s ability to commercialize its planned drug portfolio.
Mar 19
Apr 19
Nov 18
Dec 18
Jan 19
Jun 19
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document.
Equity Research | BioXyTran, Inc. (BIXT)
Stroke is a leading cause of disability, cognitive impairment, and death in the United States and
accounts for 1.7% of the national health expenditures. Since the population is aging and the risk of
stroke more than doubles for each successive decade after the age of 55 years (as shown in the
chart below), these costs are anticipated to rise dramatically.
Up to 19 20 - 39 40 - 59 60 - 79 80 and above
4.6% 4.6% 4.6% 4.6% 4.6% 4.6%
16.5% 16.9% 17.4% 17.9% 18.3% 18.8%
With the aging population, the prevalence of stroke is projected to increase, which translates into
an additional 3.4 million people with stroke by 2030, as compared to 2012. By 2030, U.S. Census
Bureau projects that nearly 4% of the US population will suffer a stroke. Because the risk of stroke
increases with age, people ≥65 years of age (particularly those ≥80 years of age) have a higher
prevalence of stroke, and this segment of the population will grow substantially over the next 18
years (as shown in the chart below).
Not just the incidences of strokes, even the total direct medical stroke-related costs are increasing
at an alarming rate. It increased by more than 16% in the three years until 2015 and is projected to
triple from $71.55 billion in 2012 to $184.13 billion by 2030. These costs are projected to increase
AVISE ANALYTICS
Projected Direct (Medical) Costs of Stroke, 2012–2030, in the United States (USD in Bn)
18-44 45-64 65-79 ≥ 80
Source: American Stroke Association 70.04
Release Date: August 2013 47.91
35.65
28.76 89.35
25.76 71.75
53.59
31.66 38.82
12.99 14.45 16.85 19.36 22.69
1.14 1.25 1.48 1.75 2.05
2012 2015 2020 2025 2030
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 1
Equity Research | BioXyTran, Inc. (BIXT)
According to the American Stroke Association, stroke ranks at No. 5 among all causes of death in
the US, killing ~142,000 people every year. In 2016, the age-adjusted stroke death rate was 37.3
per 100,000, a decrease of 16.7% from 2006, whereas the actual number of stroke deaths
increased 3.7% during the same time period. Assuming death rate to increase by 2% per annum,
we estimate that the average death due to stroke to reach ~190,000 people a year by 2030.
0.17 mn
2017E
2018P
2019P
2020P
2021P
2022P
2023P
2024P
2025P
2026P
2027P
2028P
2029P
2030P
Source: American Stroke Association, Avise Analytics Research
Release Date: August 2013
Stroke has already reached epidemic proportions. 1 in every 6 individuals worldwide suffers a
stroke in their lifetime. According to the latest research from World Stroke Organization, more than
10 million people worldwide suffer a stroke each year and 5.8 million people die from it. Current
trends suggest that unless appropriate action is taken, the number of annual deaths (which was
estimated at 6.7 million in 2015) will climb to 8.6 million by 2030.
7.90 mn
7.27 mn
6.70 mn
2015E
2016E
2017E
2018P
2019P
2020P
2021P
2022P
2023P
2024P
2025P
2026P
2027P
2028P
2029P
2030P
Source: World Stroke Organization, Avise Analytics Research
Assuming that 10 million people are likely to suffer from stroke each year and given that worldwide
death is expected to increase at 2% per annual till 2030, we estimate that stroke prevalence cases
may eventually cross 116 million, compared to 80 million patients in 2016 (as shown in the chart).
92.9 mn
89.9 mn
86.7 mn
83.5 mn
80.1 mn
2016E
2017E
2018P
2019P
2020P
2021P
2022P
2023P
2024P
2025P
2026P
2027P
2028P
2029P
2030P
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 2
Equity Research | BioXyTran, Inc. (BIXT)
Stroke is a condition where the blood supply to the brain is disrupted, resulting in oxygen
starvation, brain damage and loss of function. It is most commonly caused by a clot in an artery
supplying blood to the brain, a situation known as ischemia.
Ischemic Stroke
It can also be caused by hemorrhage, when a burst vessel causes blood to leak into the brain.
Stroke can cause permanent damage, including partial paralysis, impairment in speech,
comprehension and memory. The extent and location of the damage determines the severity of
the stroke, which can range from minimal to catastrophic.
Hemorrhage Stroke
The most common stroke is the ischemic stroke, which accounts for ~ 85% of the total stroke
cases in the United States. It can either be treated using drugs or through mechanical devices.
Drug Treatment
The only Food & Drug Administration (FDA) approved drug treatment for acute ischemic stroke is
the Tissue plasminogen activator (tPA). It is given via intravenous therapy (IV) and works by
dissolving the clot and improving blood flow to the part of the brain being deprived of blood. The
limitations in this treatment is that the tPA should be administered within three hours (and up to 4.5
hours in certain eligible patients) of the onset of symptoms.
AVISE ANALYTICS
Mechanical Devices
Some ischemic strokes are treated with a small mechanical devices that removes or breaks up
blood clots. This procedures is popularly known as Endovascular therapy. A surgeon inserts a
small mechanical device into the blocked artery using a thin tube. Once inside, the tool traps the
clot, and either breaks it up or the surgeon pulls it out of the brain, reopening the blocked blood
vessel in the process.
Though, it has greatly improved survival rates. it has some limitations. The procedure can be
performed up to six to eight hours after a person exhibits symptoms of stroke and can be extended
up to 24 hours. However, the probability of a good outcome declines as we move further and
further away from the onset of symptoms.
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 3
Equity Research | BioXyTran, Inc. (BIXT)
Studies from the US National Institute of Health and National Institute of Neurological Disorders
and Stroke, show that time is brain, as it is very crucial in case of stroke.
Of the 240 patients who were otherwise eligible for inclusion in our analysis, 182 (76%) achieved
angiographic reperfusion. Mean time from symptom onset to reperfusion (i.e., procedure end) was
325 min (SD 52). Increased time to reperfusion was associated with a decreased likelihood of
good clinical outcome (unadjusted relative risk for every 30-min delay 0·85 [95% CI 0·77-0·94];
adjusted relative risk 0·88 [0·80-0·98]).
Time to Angiographic Reperfusion and Clinical Outcome After Acute Ischemic Stroke
Limited time window is one of the foremost limitations for not receiving IV tPA. In 2009, the
American Stroke Association published a scientific advisory supporting the use of tPA within the 3-
to 4.5-hour window, and this information was then disseminated to participating hospitals.
The major disadvantage is that there is no treatment available for stroke patients before reaching
the hospital. Even after reaching the hospital, very limited patients get treatment to dissolve the
clot. This is because the treatment itself could be dangerous to the patient. Sometimes giving too
much oxygen to remove the clot may also damage the brain.
To prevent catastrophic brain damage from stroke, the Company is developing a drug, BXT-25,
also known as oxygen bridge. It is a glycol-polymer, made of hybrid molecules of Heme chemical
structure, taken from the hemoglobin molecule and a proprietary polymer chemical composition.
The drug is intravenously administrated to supply oxygen to the hypoxic tissue.
AVISE ANALYTICS
Bovine hemoglobin Extract Purify and Extract Heme and Mixed with a
collected from hemoglobin crosslink reattach to a saline solution, to
controlled herds of protein polymer be IV-infused
US cattle Source: Company
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 4
Equity Research | BioXyTran, Inc. (BIXT)
According to BJA Education, a single red blood cell (RBC) consists of 200-300 million hemoglobin
molecules. Each hemoglobin molecule is made up of globin group (protein subunits) surrounded
by four heme group. Each heme group contains one iron atom, that can bind to one oxygen
molecule. Therefore, each hemoglobin molecule having four heme group can carry 4 oxygen
molecules.
carries
200–300 million Hemoglobin
or
800-1,200 million Heme
or
800-1,200 million Oxygen
According to National Institute of Health (NIH), oxidative stress occurs when there is an imbalance
between free radicals and antioxidants in our body. Free radicals like Heme are the products of
normal cellular metabolism. A free radical can be defined as an atom or molecule containing one
or more unpaired electrons in valency shell or outer orbit and is capable of independent existence.
The odd number of electron(s) of a free radical makes it unstable, short lived and highly reactive.
Because of their high reactivity, they can extract electrons from other compounds to attain stability.
Thus the attacked molecule loses its electron and becomes a free radical itself, beginning a chain
reaction cascade which finally damages the living cell. On the other hand, antioxidants are the
molecules that can donate an electron to a free radical without making themselves unstable. This
causes the free radical to stabilize and become less reactive. When there are more free radicals
present that can be kept in balance by antioxidants, the high reactivity property of free radicals
extract electrons from other compounds to attain stability. As a result, the attacked molecule loses
its electron and becomes a free radical itself, beginning a chain reaction cascade which finally
damages the fatty tissue, DNA, and proteins in the body. Proteins, lipids, and DNA makes up a
large part of the body, so that damage can lead to a vast number of diseases over time.
FREE RADICAL
Source: CNX Openstax, Avise Analytics Research
Bioxytran applies a unique chemistry to stabilize the free heme, by reattaching it to a proprietary
polymer chemical structure, forming a glyco-polymer hybrid molecules, BXT-25. The polymer
stabilizer mimics the sugar found in the blood cells. It is made from the galactoarabinan family of
sugar chains and is therefore not metabolized.
When the heme stabilizes, it does not cause damage to the proteins, DNAs and lipids and thus
prevents undesirable toxicity. Using carbohydrate chemistry, heme and the co-polymer is
functioned to deliver oxygen to the brain.
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 5
Equity Research | BioXyTran, Inc. (BIXT)
• Absence of nitric oxide scavenging, no increased blood pressure in diabetic mice (Harvard
Medical, 2013)
• No toxicity from replacing 90% of the blood in dogs with similar chemistry to BXT-25.
• Oxygen delivery and brain recovery in stroke induced rats with similar chemistry to BXT-25
(Harvard Medical, 2013)
Blockage in the
internal carotid Adding BXY-25 after induced stroke in rat. A
artery
comparison shows between Perfused(top) and
Un-perfused Brains
Source: Company Presentation, Avise Analytics Research
The drug, BXT-25, is a whopping 5000 times smaller than a red blood cell. It is small enough to
overcome severe blockage and bring oxygen to the hypoxic tissue. The reduced size of the drug
enables it to perfuse constricted ischemic capillaries, that are inaccessible to red blood cells due to
clots. Instead of dissolving or breaking down the clot, BXT-25 penetrates a blood-clot to reach the
brain within 3 minutes, reducing time-to-needle by a whopping 90%.
BXT-25, is whopping
5000 times smaller than
a red blood cell
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 6
Equity Research | BioXyTran, Inc. (BIXT)
Until the clot is dissolved, or surgery is performed, it can continuously oxygenate the hypoxic
tissue for up to 9 hours until the next IV injection is administered, and hence helps to widen the
treatment window. BXT-25 is equally effective in case of hemorrhagic stroke.
Over-oxygenation is not an issue with BXT-25. The glycoprotein does not release oxygen into
tissues if too much oxygen is already present, and keeps the normal tissue unaffected, where
oxygen concentration is too low. The laws of physics and partial pressure chemistry are
responsible for preventing over-oxygenation. Oxygen diffuses from high to low concentration.
Perfusion works off the oxygen pressure differential. What keeps oxygen on the heme is a
chemical bond. Perfusion of oxygen into tissue happens when the pressure of the tissue is low.
Low pressure breaks the chemical bond.
An interesting fact about BXT-25 is that, unlike blood, it does not need to be stored in a
refrigerator. This new molecule is stable in solution for 3 years at room temperature and can be
freeze-dried for even longer shelf life.
While tPA is the only available FDA approved treatment for stroke, it needs to be administered
within 3 hours of onset of symptoms. Therefore, the importance of immediate action cannot be
emphasized enough, when the first symptoms of a stroke appear. For every minute the brain is
deprived of oxygen, it looses 2 million brain cells which accelerates brain aging by 3.1 weeks. In a
It widens the treatment typical stroke scenario, 30 minutes is spent getting to the hospital which results in brain aging of
window by 9 hours
1.8 years and then an additional 2 hours to do CT scan and get imaging, resulting in another 7.2
years of brain aging. This brings the total aging of the brain to 9 years in an average stroke case.
Per stroke (average) 300 million 2 trillion 1,800 km/1,100 miles 9 years
Per hour 120 million 830 billion 710 km/440 miles 3.6 years
Per second 32,000 230 million 200 meters/220 yards 8.7 hours
Source: Company, Avise Analytics Research
The CT scan is mandatory because it is imperative to determine whether the victim has an
ischemic stroke or hemorrhagic stroke as tPA can only be given to 87% of stroke patients that
suffered an ischemic stroke. The tPA works by dissolving the clot and improving blood flow to the
part of the brain being deprived of blood supply. But, if the victim falls in the category of
hemorrhagic stroke and tPA is administered before diagnosis, it would result in the patient’s death.
AVISE ANALYTICS
However, even in case of tPA being administered to an ischemic stroke patient, there is still a risk
that when the clot is dissolved and blood suddenly flows back into the affected area of the brain,
there will be bleeding that can cause more damage, or even death.
Also, it is quite challenging to complete the following within 3 hours of critical window:
1. Identifying the stroke symptoms,
2. Reaching hospital,
3. Diagnosing stroke with imaging, and
4. Administrating tPA for Ischemic Stroke.
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 7
Equity Research | BioXyTran, Inc. (BIXT)
The use of BXT-25 could drastically expand this window. Once developed and approved by the
FDA, BXT-25 will be the only treatment that can be given to any stroke patient in an ambulance for
immediate relief, as it is effective in both ischemic and hemorrhagic stroke. The doctor will no
longer have to wait for CT scan, and subsequent therapeutic decisions, to understand whether the
patient has had a hemorrhagic stroke or not. The drug can be injected to patient in the ambulance
on the way to the hospital. We believe, BXT-25 would be the fastest way possible to save the brain
cells from dying soon after the occurrence of a stroke. The drug is not meant as a long-term
solution, but rather as a stop-gap measure. However, if the patient cannot get a clot removed,
BXT-25 could be used to oxygenate the patient’s brain over a longer period of time to minimize
damage.
Development Stage Penetrate Time Window Expand tPA Available in Treat both
Cure Stroke Dissolve Clot
Drugs Through Clot to Take Drug Window Ambulance AIS & HS
Pre-treatment
DDFPe No Yes 3 Hours 1.5hrs to 9hrs Yes Yes
drug
Treatment
TMS007 Yes No 24 Hours tPA not required No No
drug
On comparing the efficacies of each development stage stroke management drug with BXT-25, it
is quite interesting to see that BXT-25 would be able to address some of the most serious
limitations in the stroke treatment measures that are currently available. The above comparison
table gives us a clearer picture – it shows that BXT-25 would be able to address 5 out of 7
highlighted limitations and would surpass most of the drugs that are currently being developed by
peer companies.
Upon completing the clinical stages in 6 to 7 years, we expect doctors to prescribe this pre-
treatment drug to most of the stroke patients, to be taken while in the ambulance or at home,
before reaching the hospital for treatment.
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 8
Equity Research | BioXyTran, Inc. (BIXT)
The Company has entered into an exclusive licensing agreement with MDX Lifesciences, Inc.
(MDX) that will allow Bioxytran to continue commercial development of MDX technology and
develop new protocols that measure the tissue metabolic state of the brain.
MDX viewer is a monitoring system that analyzes, in real time, the physiological activities at the
tissue level integrated with systemic vital signs. It is connected to the urethral wall via a Foley
catheter. It is an adjunctive bedside patient device to be applied in intensive care, operating suits
and emergency care settings, providing early identification / warning of the body’s critical metabolic
imbalances or Tissue Metabolic Score (TMS) of a patient.
Real Time Monitoring of Sensor Insertion to the The Smart Foley Catheter
Tissue Viability Urethra via a Foley Catheter with 3 Measurement Points
The four parameters monitored at the tissue microcirculation and cellular compartment are as
follows:
These parameters are then combined with systemic hemodynamic parameters, cardiovascular and
respiratory, including heart rate, system IC blood pressure, respiratory rate, systemic haemoglobin
saturation and body core temperature. The result is an entire body score, which is important to
AVISE ANALYTICS
The last model of the device was tested in animals that were mimicking the conditions of lack of
oxygen in the human brain or in other organs in the body. The stability of the device was tested by
monitoring an animal model for a number of hours.
With the help of Tissue Metabolic Score (TMS), tissue oxygenation levels can be measured before
and after the administration of BXT-25. Once it is proved that tissue oxygenation increased, the
drug can be approved.
9
Equity Research | BioXyTran, Inc. (BIXT)
Bioxytran agreed to pay $500,000 as licensing fee, contingent upon its receipt of $3.0 million or
more in equity financing under the S-1 registration. Bioxytran also agreed to reimburse MDX for
development costs required to use the device with BXT-25 or other compounds, plus a 20% value
added fee. We trust that MDXViewer will further the market position of BXT-25.
Following the FDA approval of the drug (BXT-25) for its sale and marketing in the United States,
we forecast that at least 3% of the Stroke patients will be prescribed this drug for use during the
initial year of sales – this figure may increase to reach as much as 20% in 7 to 8 years.
Similarly, for rest of the world, We forecast that at least 1.5% of stroke patients will be prescribed
this drug for use during its initial year of sales. This number may grow to reach as much as 9% in
7-8 years.
9%
3%
1.5%
20 26P 20 27P 20 28P 20 29P 20 30P 20 31P 20 32P 20 33P 20 26P 20 27P 20 28P 20 29P 20 30P 20 31P 20 32P 20 33P
Proj ected stroke pa ti ent in the U.S Bio XyTra n drug u sers Proj ected stroke pa ti ent in R.O.T.W. Bio XyTra n drug u sers
According to a new study published by the National institute of Neurological Disorders and Stroke,
approximately 13% of the total direct medical cost on stroke accounts for medication in the United
States. Based on our most conservative estimates, we expect BXT-25 to cost a minimum of 5% of
the total medication cost. In other words, the total dosage of BXT-25 in the U.S. would cost only
$55 per patient in 2026, which is forecasted to reach $64 by 2033. Similarly, in rest of the world, it
is estimated to cost a minimum of $19 per patient in 2026 and is forecasted to reach $25 by 2033.
1093.04 $378.8
54.6522 $18.9
5163
AVISE ANALYTICS
Total Med icatio n Cost Cost of BXT-25 i n U.S. Total Med icatio n Cost Co st of BXT-2 5 in R.O.T.W
10
Equity Research | BioXyTran, Inc. (BIXT)
The management of the Company expects to spend as much as $10 million to complete its Phase-
2 clinical trial. Upon successful completion of Phase-2 trial of BXT-25, the Company plans to
collaborate with an established pharmaceutical company or companies, to further develop and
market the drug. Based on the valuation of similar deals that have happened in the past, we
estimate Bioxytran to license the rights for $25 million, that is, 2.5x its capital outflow.
Under the same agreement, we estimate the Company to receive manufacturing royalties of 15%
& 10% on net sales in the United States and Rest of the World, respectively.
Licensing the Development & Selling Rights at 2.5x its Capital Outflow
$2M
$3.4M
$12.4M
$12.4M
Based on our reasonable assumptions, we forecast that the 15% royalty fees on the sale of BXT-
25 in the United States would increase from $4.8 million in 2026 and reach $ 42.8 million by 2033.
Similarly, the 10% royalty fees for rest of the world would fetch a royalty fee of $ 2.6 million in 2026
which will grow to $ 22.3 million by 2033.
Licensing the Development & Selling Rights at 2.5x its Capital Outflow
24.3 12.2
4.8 2.6
FY26 `27 `28 `29 `30 `31 `32 `33 FY26 `27 `28 `29 `30 `31 `32 `33
Source: Avise Analytics Estimates
The above conservative estimates look very reasonable and should be achievable.
The path breaking technology of BXT-25 looks promising. We assume that Bioxytran will soon
AVISE ANALYTICS
start its preclinical study and expect the Company to successfully complete each of its clinical
phases on time.
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 11
Equity Research | BioXyTran, Inc. (BIXT)
Bioxytran is developing new drug candidates and next generation technologies that will address
real unmet medical needs in Ischemic wound healing. A second drug candidate, BXT-252 is a
chemical structure sub-class of BXT-25, sharing the same physical properties (1/5000th of red
blood cell) however, its proprietary co-polymer can improve the healing of pressure and arterial
ulcers. It will be designed to treat the hypoxia in wounds that do not heal. The company is planning
to begin pre-clinical studies and apply to the FDA for approval for these indications.
BXT-252, will be an injectable anti-necrosis drug, specifically meant to treat ischemic wounds,
where poor blood flow causes the cells to die and damages the tissue. Generally, the mean
healing time of ischemic wounds is about 3-6 months. However in the case of BXT-252, the
Company expects, that it will enable quick delivery of oxygen to wounded tissue in conditions
where red blood cells cannot reach, minimizing the time of wound healing significantly.
As per the latest research from Markets and Markets, the wound care market is expected to reach
USD 22.81 billion by 2022 from USD 18.99 billion in 2018 at a CAGR of 3.7. According to National
Institute of Health , chronic wounds affect around 6.5 million patients in the United States every
year. It is claimed that in excess of $25 billion is spent annually on treatment of chronic wounds
and the burden is growing rapidly due to increasing health care costs, an aging population and a
sharp rise in the incidences of diabetes and obesity worldwide. 7.8% of the U.S. population suffers
from diabetes. It is estimated that up to 25% of all diabetics will develop a diabetic foot ulcer. All
these factors envisage a huge potential for BXT-252 drug candidate to accelerate revenue growth
in the wound care market.
0.07
0.06
0.03
0.01
Venous Venous Pressure Chronic Surg ical Surg ical Skin Skin Traumatic Arterial Diabetic Diabetic
Inf ections ulcer ulcer wounds Inf ections disorders Inf ections wounds ulcer foot ulcer Inf ection
Source : Value in Health, Avise Analytics Research
According to Euro transplant Annual Report 2010, up to 72% of donated organs go to waste and
are not transplanted. BXT-251, another drug candidate of Bioxytran, aims to prolong
extracorporeal circulation and preservation of organs for transplant during transport or storage
from hours to days.
Bioxytran Pipeline
Organ
BXT-252 Preservation Bioxytran Inc.
BIXT
Source: Company
We believe both BXT 251 & 252 are highly potent drug candidates that are structurally different
from many existing drugs and may address the key issues of emerging treatment resistance that
limit duration of preservation & prompt and effective healing, respectively.
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 12
Equity Research | BioXyTran, Inc. (BIXT)
In 1995 Dr. Platt founded International Gene Group (NASDAQ: IGGI, GLGS now LPJC); where he
developed the core technology of the company for the treatment of cancer and chronic kidney
Is now diseases and continued to serve the firm through 2000. At initiation, the valuation of IGGI was
around $15-20 million which reached to $600 million by 2000.
Between 2001 and 2009, Dr. Platt became a founder of Pro-Pharmaceuticals, Inc. (OTC: PRWP
and AMEX: PRW, now NASDAQ: GALT), and served as its chief executive officer and board
chairman.
Dr. Platt co-founded Pro Pharmaceuticals, which eventually changed its name to Galectin
Therapeutics (GALT). He served as the Chairman, President and Chief Executive Officer in Pro
Pharmaceuticals. In this company, he had a key role, along with Anatole Klyosov, in inventing the
galectin inhibitor, DAVANAT, for the treatment of cancer. This had a ~$500 million market cap at
its peak. The company was highly dependent on David Platt to develop their products and also to
pursue collaborations.
• Raised more than $3 million • Initiated and submitted to • Raised $10.0 million by • Entered into a license
in capital 2002 the FDA a Phase II clinical issuing 7% Convertible agreement with Medi-Pharma
• The FDA accepted the IND of trial of DAVANAT ®/5-FU Debentures and common to commercialize all of the
DAVANAT, authorizing the in colorectal cancer stock warrants through a company’s polysaccharide
company to begin Phase I patients private placement technology in exchange for a
clinical trials royalty equal to 10% of Medi-
Pharma’s net revenues from
products sold based on the
licensed technology.
• Conducted preclinical trial • Began Phase I clinical trial of • Successfully completed a • From inception through • DAVANAT
in 2001 on DAVANAT DAVANAT ® and DAVANAT Phase I clinical trial for 2007 fiscal year, raised completed Phase II
®/5-FU end-stage patients with all approximately $37.6 trials for treatment
• Raised approximately $9.9 solid tumours of colorectal
million from these
million in new financing in • Completed Phase II trial cancer.
2003 offerings.
for end-stage patients with • Received $1.0
metastatic colorectal million in advance
cancer. under the terms of
the agreement
with Medi-Pharma
Source : Galectin Therapeutics, Avise Analytics Research
AVISE ANALYTICS
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 13
Equity Research | BioXyTran, Inc. (BIXT)
Bringing his management experience to the role, Dr. Platt became the Founder, Chairman and
Chief Executive Officer of Boston Therapeutics between 2010-2016. He has played a significant
role in the development and commercialization of complex carbohydrate science, and a pipeline of
carbohydrate-based therapeutics, to address a variety of unmet medical needs in treating diabetes
and inflammatory diseases. During this period, he invented and developed all the Intellectual
properties of the company. His expertise was particularly valuable to bring progress to the clinical
development of their drugs and work, to expand market awareness and sales of SUGARDOWN®
, a dietary supplement designed to reduce post-meal sugar spikes.
• Assigned the trademark • Raised more than $1,000,000 in • Concluded Phase IIb clinical • Raised about
SUGARDOWN™ private and public placements in trial on BTI320 in Oct‘14 $2,200,000 in
2012 • Announces FDA Acceptance gross proceeds
• Submitted SugarDown™ to the US
Food and Drug Administration • Wins FDA Approval to File an of IND to Initiate a Clinical Trial from private
Abbreviated New Drug Application of BTI-320 in Dec‘14 placements in
for PAZAMET(TM) to Treat Dec’16.
Diabetes
Through Private
Placement.
1. We expect Dr. Platt to lead the Company through the evolving regulatory landscape in close
collaboration with the development, CMC, and quality teams as it closes in on near-term
milestones and prepares to bring drug therapies to patients. His leadership would strengthen
the relationships of Bioxytran with key stakeholders towards the successful development of its
drugs.
AVISE ANALYTICS
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 14
Equity Research | BioXyTran, Inc. (BIXT)
Mr. Soderquist has more than 30 years of senior international entrepreneurial management
experience within technology companies. He has served as CFO and other capacities in multiple
industry sectors. Ola is a multi-lingual senior finance professional poised to work globally and
cross-functionally, particularly with complex projects involving business integration, systems
Ola Soderquist implementation, continuous improvement, and process excellence. Ola’s managerial experience
portfolio includes; Start-ups, Private, Public, Venture Capital and Private Equity ownership. He
obtained a BS and an MS in Accounting from Stockholm School of Economics and an MBA from
Babson College – Franklin W. Olin Graduate School of Business.
Elena Chekhova received her Ph.D in Process Systems Engineering at MIT. Elena has over 10
years of experience in life sciences. She is the founder of Biotine Consulting, a life science
consultancy that provides business development and project management services to life science
Elena Chekhova companies in the US as well as internationally. Prior to founding Biotine, Elena served as Vice
President of Business development at Chiral Quest, a manufacturing and technology start-up with
offices in NJ and China.
AVISE ANALYTICS
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 15
Equity Research | BioXyTran, Inc. (BIXT)
Risk Assessment
Clinical Drug Development is a Lengthy and Expensive Process
Bioxytran plans to initiate pre-clinical studies of its lead drug, BXT-25, soon. However, such pre-
clinical trials are not only expensive and time-consuming, but also carry greater risks of failure in
terms of yielding negative test results. This could adversely affect the management’s ability to raise
capital, planned future activities and consequently operational and financial performance of the
Company.
Risk of Dilution
Given the significant costs associated with funding clinical studies required for regulatory approval,
early-stage, development stage biotechnology companies are especially susceptible to the risk of
dilution. If Bioxytran requires more capital than expected, or faces a more challenging capital
raising environment, or if its clinical pipeline takes longer to develop than anticipated, the Company
maybe forced to raise capital at prices/terms which are unfavourable to existing equity holders.
This may include the issuance of new shares and dilutive instruments such as warrants, convertible
debt and preferred stock. Dilution reduces the proportionate ownership of shareholders and may
adversely impact the Company’s common stock value.
AVISE ANALYTICS
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 16
Equity Research | BioXyTran, Inc. (BIXT)
INCOME STATEMENT
PARTICULARS ($ in M) FY19F FY20F FY21F FY22F FY23F FY24F FY25F FY26F FY27F FY28F FY29F FY30F FY31F FY32F FY33F
NET REVENUE
Licencing Revenue
Domestic - - - - 12.44 4.98 7.46 4.78 12.68 18.22 24.33 29.26 34.67 38.58 42.81
As a % of Net Revenue 100.0% 100.0% 64.9% 66.7% 66.6% 66.6% 66.2% 65.9% 65.8% 65.8%
As a % of Net Revenue 35.1% 33.3% 33.4% 33.4% 33.8% 34.1% 34.2% 34.2%
Revenue from Cont Ops 0.00 0.00 0.00 0.00 12.44 4.98 7.46 7.36 19.02 27.36 36.54 44.21 52.60 58.60 65.09
y/y growth (60.0%) 50.0% (1.4%) 158.4% 43.9% 33.6% 21.0% 19.0% 11.4% 11.1%
G&A Expenses 0.47 0.47 0.47 0.47 1.15 1.19 1.22 1.26 1.30 1.34 1.38 1.42 1.46 1.51 1.55
As a % of Net Revenue - - - - 9.3% 23.9% 16.4% 17.1% 6.8% 4.9% 3.8% 3.2% 2.8% 2.6% 2.4%
R&D Expenses 2.70 1.50 1.95 1.50 0.15 0.15 0.15 0.15 0.15 0.16 0.16 0.16 0.16 0.17 0.17
As a % of Net Revenue - - - - 1.2% 3.0% 2.0% 2.1% 0.8% 0.6% 0.4% 0.4% 0.3% 0.3% 0.3%
D&A 0.08 0.09 0.09 0.09 0.02 0.02 0.02 0.19 0.61 1.22 2.04 2.89 3.69 4.46 5.19
As a % of Net Revenue - - - - 0.1% 0.3% 0.3% 2.5% 3.2% 4.5% 5.6% 6.5% 7.0% 7.6% 8.0%
Total Operating Expenses 3.25 2.05 2.51 2.06 1.32 1.36 1.40 1.60 2.06 2.72 3.58 4.47 5.32 6.13 6.91
Operating Profit/(Loss) (3.25) (2.05) (2.51) (2.06) 11.12 3.62 6.07 5.76 16.95 24.64 32.97 39.74 47.28 52.46 58.17
As a % of Net Revenue 89.4% 72.8% 81.3% 78.3% 89.1% 90.1% 90.2% 89.9% 89.9% 89.5% 89.4%
EBITDA (3.17) (1.97) (2.42) (1.97) 11.25 3.68 6.16 5.95 17.56 25.86 35.00 42.63 50.97 56.92 63.36
As a % of Net Revenue - - - - 89.5% 73.1% 81.6% 80.8% 92.4% 94.5% 95.8% 96.4% 96.9% 97.1% 97.4%
Profit/(Loss) Before Taxes (3.25) (2.05) (2.51) (2.06) 11.12 3.62 6.07 5.76 16.95 24.64 32.97 39.74 47.28 52.46 58.17
As a % of Net Revenue - - - - 89.4% 72.8% 81.3% 78.3% 89.1% 90.1% 90.2% 89.9% 89.9% 89.5% 89.4%
Income Tax Expenses (Benefits) - - - - - - - 1.44 3.99 5.91 7.99 9.94 11.82 13.12 14.54
Net Profit / (Loss) for the period (3.25) (2.05) (2.51) (2.06) 11.12 3.62 6.07 4.32 12.96 18.73 24.97 29.81 35.46 39.35 43.63
As a % of Net Revenue - - - - 89.4% 72.8% 81.3% 58.7% 68.2% 68.5% 68.3% 67.4% 67.4% 67.1% 67.0%
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 17
Equity Research | BioXyTran, Inc. (BIXT)
BALANCE SHEET
PARTICULARS ($ in M) FY19F FY20F FY21F FY22F FY23F FY24F FY25F FY26F FY27F FY28F FY29F FY30F FY31F FY32F FY33F
Assets
Current Assets:
Cash & Cash Equivalents 6.42 4.30 1.92 0.00 10.99 22.10 25.72 30.02 30.68 40.11 54.85 75.95 101.46 133.01 168.23
Accounts & Other Receivables - - - - - - - 1.07 2.77 3.98 5.32 6.44 7.66 8.53 9.48
Other Current Assets - - - - - - - 0.15 0.38 0.55 0.73 0.88 1.05 1.17 1.30
Total Current Assets 6.42 4.30 1.92 0.00 10.99 22.10 25.72 31.24 33.83 44.64 60.90 83.27 110.17 142.71 179.01
Non-Current Assets:
Property, Plant & Equipment, net 0.25 0.19 0.14 0.08 0.10 0.11 0.12 0.73 2.22 4.13 6.43 8.92 11.69 14.53 17.50
Intangibles Assets - IP 0.08 0.07 0.04 0.01 0.00 0.00 0.00 0.17 0.54 0.96 1.38 1.75 2.12 2.44 2.74
Total Non-Current Assets 0.32 0.26 0.17 0.09 0.10 0.11 0.12 0.89 2.75 5.09 7.80 10.66 13.81 16.97 20.24
Total Assets 6.74 4.55 2.10 0.09 11.09 22.21 25.84 32.13 36.58 49.73 68.71 93.94 123.98 159.68 199.25
CurrentCompany’s
Source: Liabilities:filings and Avise Analytics estimates
Accounts & Other Payables 0.37 0.23 0.29 0.34 0.22 0.22 0.23 0.34 0.44 0.58 0.77 0.96 1.14 1.31 1.48
Accounts Payable Related Party - - - - - - - 0.11 0.14 0.19 0.25 0.31 0.37 0.43 0.48
Total Current Liabilities 0.37 0.23 0.29 0.34 0.22 0.22 0.23 0.45 0.59 0.77 1.02 1.27 1.51 1.74 1.96
Non-Current Liabilities:
Long-Term Debt - - - - - - - - - - - - - - -
Total Liabilities 0.37 0.23 0.29 0.34 0.22 0.22 0.23 0.45 0.59 0.77 1.02 1.27 1.51 1.74 1.96
Shareholders' Equity
Preferred Stock
Contributed Equity 10.0 10.0 10.0 10.0 10.0 10.0 10.0 10.0 10.0 10.0 10.0 10.0 10.0 10.0 10.0
AVISE ANALYTICS
Accumulated Losses (3.63) (5.68) (8.19) (10.25) (10.25) (10.25) (10.25) (10.25) (10.25) (10.25) (10.25) (10.25) (10.25) (10.25) (10.25)
Retained Earnings - - - - 11.12 22.24 25.86 31.92 36.24 49.21 67.94 92.91 122.72 158.18 197.53
Total Shareholders’ Eq/(Def) 6.37 4.32 1.81 (0.25) 10.87 21.99 25.61 31.68 36.00 48.96 67.69 92.67 122.47 157.94 197.29
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 18
Equity Research | BioXyTran, Inc. (BIXT)
KEY RATIOS
PARTICULARS FY19F FY20F FY21F FY22F FY23F FY24F FY25F FY26F FY27F FY28F FY29F FY30F FY31F FY32F FY33F
Diluted Earnings per Share ($) (0.03) (0.02) (0.03) (0.02) 0.12 0.04 0.06 0.05 0.14 0.20 0.26 0.31 0.37 0.41 0.46
Book Value per Share ($) 0.07 0.05 0.02 0.00 0.11 0.23 0.27 0.33 0.38 0.51 0.71 0.97 1.29 1.66 2.07
Payout (%) - - - - - - - - - - - - - - -
LIQUIDITY RATIOS
Current Ratio (x) 17.33 17.83 12.53 3.37 25.36 75.01 105.79 90.48 63.20 57.78 58.91 62.78 69.28 77.42 86.50
TURNOVER RATIOS
Debtors Turnover Ratio (x) - - - - - - - 6.9 9.9 8.1 7.9 7.5 7.5 7.2 7.2
Debtors day - - - - - - - 53 37 45 46 49 49 50 50
Net Fixed Assets Turnover Ratio (x) - - - - 125.0 46.7 63.4 17.4 12.9 8.6 6.9 5.8 5.1 4.5 4.1
PROFITABILITY RATIOS
Gross Profit Margin - - - - 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
EBIT Margin - - - - 89.4% 72.8% 81.3% 78.3% 89.1% 90.1% 90.2% 89.9% 89.9% 89.5% 89.4%
EBITDA Margin - - - - 89.5% 73.1% 81.6% 80.8% 92.4% 94.5% 95.8% 96.4% 96.9% 97.1% 97.4%
NPAT Margin - - - - 89.4% 72.8% 81.3% 58.7% 68.2% 68.5% 68.3% 67.4% 67.4% 67.1% 67.0%
Return on Capital Employed (51%) (38%) (82%) (263%) 209.3% 22.0% 25.5% 20.1% 50.1% 58.0% 56.5% 49.6% 44.0% 37.4% 32.8%
Return on Networth [RONW] (51%) (38%) (82%) (263%) 209.3% 22.0% 25.5% 15.1% 38.3% 44.1% 42.8% 37.2% 33.0% 28.1% 24.6%
VALUATION RATIOS
P/E (x) - - - - 9.4 28.9 17.2 24.2 8.1 5.6 4.2 3.5 2.9 2.7 2.4
P/BV (x) 16.4 24.2 57.7 -424.7 9.6 4.8 4.1 3.3 2.9 2.1 1.5 1.1 0.9 0.7 0.5
EV/Sales (x) - - - - 7.9 19.7 13.2 13.3 5.2 3.6 2.7 2.2 1.9 1.7 1.5
EV/Adj. EBITDA (x) - - - - 8.8 27.0 16.1 16.5 5.6 3.8 2.8 2.3 1.9 1.7 1.5
Dividend Yield - - - - - - - - - - - - - - -
CAPEX / Dep (x) 5.0 0.2 0.0 0.0 1.8 1.7 1.4 5.1 4.1 2.9 2.3 2.0 1.9 1.7 1.6
CAPEX / Sales (x) - - - - 0.002 0.006 0.004 0.130 0.130 0.130 0.130 0.130 0.130 0.130 0.130
No. of Shares Outstanding (in M) = 95.1 95.1 95.1 95.1 95.1 95.1 95.1 95.1 95.1 95.1 95.1 95.1 95.1 95.1 95.1
Year end Adj. Share price ($) = 1.10 1.10 1.10 1.10 1.10 1.10 1.10 1.10 1.10 1.10 1.10 1.10 1.10 1.10 1.10
Add: Debt ($ in M) = - - - - - - - - - - - - - - -
Preferred shares ($ in M) = 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Less: Cash & CE ($ in M)= 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4
Enterprise Value ($ in M) = 98.2 98.2 98.2 98.2 98.2 98.2 98.2 98.2 98.2 98.2 98.2 98.2 98.2 98.2 98.2
DU-Pont ANALYSIS
PAT/PBT 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 75.0% 76.5% 76.0% 75.8% 75.0% 75.0% 75.0% 75.0%
AVISE ANALYTICS
PBT/EBIT 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%
EBIT/Revenue - - - - 89.4% 72.8% 81.3% 78.3% 89.1% 90.1% 90.2% 89.9% 89.9% 89.5% 89.4%
Revenue/Total Assets 0.00 0.00 0.00 0.00 1.12 0.22 0.29 0.23 0.52 0.55 0.53 0.47 0.42 0.37 0.33
Total Asset/Total Equity 1.06 1.05 1.16 -0.37 1.02 1.01 1.01 1.01 1.02 1.02 1.02 1.01 1.01 1.01 1.01
Return on Equity (RoE) - - - - 102.3% 16.5% 23.7% 13.6% 36.0% 38.3% 36.9% 32.2% 29.0% 24.9% 22.1%
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 19
Equity Research | BioXyTran, Inc. (BIXT)
Operating Income (EBIT) (3.25) (2.05) (2.51) (2.06) 11.12 3.62 6.07 5.76 16.95 24.64 32.97 39.74 47.28 52.46 58.17
Less: CAPEX 0.40 0.02 0.00 0.00 0.03 0.03 0.03 0.96 2.47 3.56 4.75 5.75 6.84 7.62 8.46
Add: D & A + Impairment 0.08 0.09 0.09 0.09 0.02 0.02 0.02 0.19 0.61 1.22 2.04 2.89 3.69 4.46 5.19
Current Assets excl. cash 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.22 3.15 4.53 6.05 7.32 8.71 9.70 10.78
Less: Current Liabilities 0.37 0.23 0.29 0.34 0.22 0.22 0.23 0.45 0.59 0.77 1.02 1.27 1.51 1.74 1.96
Working Capital (WC) (0.37) (0.23) (0.29) (0.34) (0.22) (0.22) (0.23) 0.76 2.56 3.76 5.04 6.05 7.20 7.96 8.81
Increase/(Decrease) in WC (0.11) 0.14 (0.05) (0.05) 0.12 (0.01) (0.01) 0.99 1.80 1.20 1.28 1.02 1.15 0.76 0.85
Less: Taxes - - - - - - - 1.44 3.99 5.91 7.99 9.94 11.82 13.12 14.54
FCF for the Firm/Equity = (3.46) (2.12) (2.37) (1.92) 10.98 3.61 6.07 2.56 9.30 15.20 20.99 25.93 31.17 35.43 39.51
Terminal Value = 621.90
Present Value of FCF = (3.23) (1.81) (1.85) (1.36) 7.12 2.14 3.28 1.26 4.19 6.25 7.88 8.88 9.75 10.12 172.41
Risk-free rate 2.0% We are initiating coverage on Bioxytran with a price target of $2.64 per share,
Excess Return on NASDAQ Biotechnology Index (3-Yr) 3.6% achievable in 12 months, discounted at a WACC of 9.54%, using DCF
Beta 0.69 valuation as our preferred methodology for valuing the stock, as it
incorporates our long-term view about the Company’s operations. On
Unadjusted Equity Risk Premium 2.5%
comparing the technology value of its peer group based on market cap per
+Company Specific Risk Premium 3.0% drug, BIXT is valued at $107.7 million or $1.3 per share.
+ Small Business Risk Premium 2.0%
Cost of Equity (CAPM) 9.54%
SENSITIVITY ANALYSIS
Cost of Debt
Statutory Tax rate 25.0% Change in Fair Value per Share with a 1% Change in WACC
Debt / Capital 0.0%
WACC 8.54% 9.54% 10.54% 11.54% 12.54%
After Tax Cost of Debt 0.0%
Terminal Growth % 3.00% 3.00% 3.00% 3.00% 3.00%
WAC (Debt) 0.0%
Fair Value ($ / Share) 3.39 2.64 2.10 1.70 1.40
Cost of Equity (CAPM) 9.54%
Equity / Capital 100.0% Change in Fair Value per Share with a 0.5% Change in Terminal Growth %
WAC (equity) 9.54% WACC 9.54% 9.54% 9.54% 9.54% 9.54%
WACC Conclusion 9.54% Terminal Growth % 2.00% 2.50% 3.00% 3.50% 4.00%
Long Term Growth Rate (Assumed) = 3.0% Fair Value ($ / Share) 2.37 2.49 2.64 2.80 3.00
TECHNOLOGY VALUE
Market Cap Commercial Developing Total Market Cap
Peer Company Bloomberg Ticker
($ in M) No. of Drugs No. of Drugs No. of Drugs /drugs
No. of Drugs 1
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 20
Equity Research | BioXyTran, Inc. (BIXT)
US RoW
A minimum 3% of the stroke patients are expected to be prescribed to A minimum 1.5% of the stroke patients are expected to be prescribed to
use BXT-25 during the first year of sales in 2026, which will gradually use BXT-25 during the first year of sales in 2026, which will gradually
increase to reach as high as 20% by 2033. increase to reach as high as 9% by 2033.
For estimating the drug market size for BXT-25 in the US and RoW, we have made the following assumptions and projections:
Estimating the Overall Drug Market Size for Stroke Management for the forecast period 2019-2033: US & Global
US Global
POPULATION: POPULATION:
For US population projections, we have referred to the data published by For global population projections, we have referred to Worldometers
the US Census Bureau
AVERAGE ANNUAL STROKE CASES (NEW+RECURRENT) AVERAGE ANNUAL STROKE CASES (NEW+RECURRENT)
According to a report by the AHA, each year approximately 795,000 According to a report by the AHA, the incidence of stroke was 10.3
people experience a new or recurrent stroke, and this level is expected to million in 2013, and we have assumed this to remain constant during the
continue in future. forecast period.
STROKE
1. PATIENTS: STROKE PATIENTS:
According to a policy statement by the AHA and American Stroke According to a report by the AHA, the global prevalence of stroke in 2016
Association (ASA), crude stroke prevalence rate in 2015 is estimated at was 80.1 million people. For forecasting the stroke prevalence from 2017
3.31%. For forecasting the stroke prevalence from 2016 onwards, we onwards, we have incorporated the effect of average annual stroke
have incorporated the effect of average annual stroke cases (both new cases (both new and recurrent attacks) and average death due to stroke
and recurrent attacks) and average death due to stroke each year and each year and have arrived at the following growth trend:
have arrived at the following growth trend: ~0.14% p.a. between 2015-2017,
~4% p.a. between 2017-2022, ~0.13% p.a. between 2018 - 2025 and
~5% p.a. between 2023 - 2028 and ~0.12% p.a. for the rest of the forecast period.
~6% p.a. for the rest of the forecast period.
MEDICATION & OTHER EXPENSES COST:
TOTAL DIRECT MEDICAL COSTS According to the market research firm ReportLinker, the acute ischemic
According to a policy statement by the AHA and ASA, the total direct stroke drug sales in the US represented 47% of all sales in 2017 from the
AVISE ANALYTICS
medical costs of stroke in the US is projected to grow at a CAGR of 8MM. Based on this, we have assumed this ratio to remain constant
~5.4% between 2015-2030 to reach $184.13 billion by 20302. We have during the forecast period. Further, based on our assumption and
assumed the same growth trend to continue during the rest of the projections on total medication and expenses costs in the US, we have
forecast period. derived the projections for the global medication and other expense costs
of stroke during 2019-2033
MEDICATION & OTHER EXPENSES COST:
As per Healing in Motion, a patient-driven agency focused on strokes,
brain injuries and brain attacks, the total medications and other expenses
costs constitute 13% of total direct medical costs. We have assumed this
ratio to remain constant during 2019-2033. Based on this and above
projections related to total direct medical costs, we have derived the total
medications and other expenses costs during our forecast period.
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 21
Equity Research | BioXyTran, Inc. (BIXT)
Estimating the Overall Drug Market Size for Stroke Management for the forecast period 2019-2033: US
2019F 2020F 2021F 2022F 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F 2031F 2032F 2033F
US Population Forecast
330 333 335 337 340 342 344 346 349 351 353 355 357 359 361
(mn)1
As a % of US population 0.24% 0.24% 0.24% 0.24% 0.23% 0.23% 0.23% 0.23% 0.23% 0.23% 0.23% 0.22% 0.22% 0.22% 0.22%
Growth (%) 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0%
Growth (%) 5.3% 5.3% 5.5% 5.5% 5.5% 5.5% 5.5% 5.5% 5.5% 5.5% 5.5% 5.5% 5.5% 5.5% 5.5%
Source :
1 https://www.census.gov/data/tables/2017/demo/popproj/2017-summary-tables.html
2.
https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5619a2.htm
2.
https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6120a5.htm
2. https://www.ahajournals.org/doi/pdf/10.1161/STR.0b013e31829734f2
3. http://www.healingsinmotion.org/what-is-a-stroke/stroke-facts/
4 https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000000659
5 https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000000659
AVISE ANALYTICS
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 22
Equity Research | BioXyTran, Inc. (BIXT)
2019P 2020P 2021P 2022P 2023P 2024P 2025P 2026P 2027P 2028P 2029P 2030P 2031P 2032P 2033P
As a % of Total US
0.13% 0.13% 0.13% 0.13% 0.13% 0.13% 0.13% 0.12% 0.12% 0.12% 0.12% 0.12% 0.12% 0.12% 0.12%
Population
Growth (%) 1.66% 1.66% 1.66% 1.66% 1.66% 1.66% 1.66% 1.66% 1.66% 1.66% 1.66% 1.66% 1.66% 1.66% 1.66%
Source :
6 Worldometers
7
WHO
8 https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000000485
9 https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000000659
10 https://www.prnewswire.com/news-releases/acute-ischemic-stroke-global-drug-forecast-and-market-analysis-to-2027-300744837.html
AVISE ANALYTICS
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 23
Equity Research | BioXyTran, Inc. (BIXT)
Based on our most conservative estimates, BXT-25 is expected to cost only 5% of the total medication cost. In other words, the
total dosage of BXT-25 per patient in the U.S. would cost only $55 in 2026, which is forecasted to reach $64 by 2033. Similarly, in
rest of the world, it is estimated to cost only $19 per patient in 2026 and is forecasted to reach $25 by 2033.
Under the same agreement, we estimate the Company to receive manufacturing royalties of 15% & 10% on net sales in the US
and RoW, respectively.
We forecast the license revenue in the U.S., to increase from $5.0 million in 2026 and reach $42.8 million by 2033. Similarly, for
RoW, we forecast the license revenue to increase from $2.6 million in 2026 and reach $22.3 million by 2033.
BXT-25 FY19F FY20F FY21F FY22F FY23F FY24F FY25F FY26F FY27F FY28F FY29F FY30F FY31F FY32F FY33F
DOMESTIC
No. of Patients (mn) - - - - - - - 0.58 1.52 2.14 2.79 3.28 3.79 4.11 4.45
Drug cost per patient ($) - - - - - - - 54.65 55.72 56.88 58.14 59.49 60.95 62.50 64.15
As a % of total medication
- - - - - - - 0.05 0.05 0.05 0.05 0.05 0.05 0.05 0.05
cost in US
Licence Revenue ($ in mn) 0 0 0 0 12.55 5.02 7.53 4.78 12.68 18.22 24.33 29.26 34.67 38.58 42.81
Licence Commission 0.15 0.15 0.15 0.15 0.15 0.15 0.15 0.15
INTERNATIONAL
Drug cost per patient ($) - - - - - - - 18.94 19.60 20.32 21.09 21.92 22.82 23.79 24.83
As a % of total medication
- - - - - - - 0.05 0.05 0.05 0.05 0.05 0.05 0.05 0.05
cost in US
Licence Revenue ($ in mn) - - - - - - - 2.58 6.33 9.14 12.21 14.95 17.93 20.02 22.27
Licence Commission - - - - - - - 0.10 0.10 0.10 0.10 0.10 0.10 0.10 0.10
PRODUCT TOTAL - - - - - - - 7.36 19.02 27.36 36.54 44.21 52.60 58.60 65.09
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 24
Equity Research | BioXyTran, Inc. (BIXT)
i. Research & Development (R&D) Expenses: Between FY2019-22, we estimate Company to spend close to $8 million on
research and development, to successfully complete the development of BXT-25 till phase-2 clinical trial. From FY2023 onwards,
the collaboration license would allow partnered companies to conduct remaining clinical trials. This will eliminate the company’s
development cost on BXT-25.
R&D Expenses (as a % of Net Revenue)
PARTICULARS FY23F FY24F FY25F FY26F FY27F FY28F FY29F FY30F FY31F FY32F FY33F
Assumption rate 1.2% 3.0% 2.0% 2.1% 0.8% 0.6% 0.4% 0.4% 0.3% 0.3% 0.3%
ii. General & Administration (G&A) Expenses: While the R&D cost on development of BXT-25 will be negligible post
collaboration, the G&A expenses are also likely to be under control, even after the commercialization of BXT-25.
• For the purpose of forecasting salaries & wages, we have considered Dr. Platt and Mr. Soderquist as the only employees
and each of them is expected to remain committed on a full-time basis. We expect the current management salary structure
(@$6,000 per month) to remain unchanged during the development stage. Post-commercialization, i.e., from FY2023
onwards, we expect the management salary to increase to $40,000 per month to represent a fair compensation structure.
Our forecast model further incorporates salary growth rate of 3% p.a. from FY2024 onwards.
Assumption rate 9.2% 23.9% 16.4% 17.1% 6.8% 4.9% 3.8% 3.2% 2.8% 2.6% 2.4%
• Overall, EBITDA margin is forecasted to stabilize from FY2027 onwards, to keep it at whooping 92% in 2027, which will
gradually improve to reach 97% by FY2033.
From FY2026 onwards, each year amortization equivalent to 3% of net revenue of the corresponding year has been charged on
the opening balance of intangibles.
On an aggregate basis, D&A expenses as a % of net revenue, is expected to increase from 2.6% in FY2026 to 8.0% by FY2033.
Assumption rate 0.1% 0.3% 0.3% 2.5% 3.2% 4.5% 5.6% 6.5% 7.0% 7.6% 8.0%
After adjusting the impact of D&A expenses, we forecast the operating margins to remain stable at ~90%.
We expect the Company to remain debt-free during the forecasting period. Hence, no outflow on account of interest expenses.
v. Tax rate:
From FY2026 onwards, we have assumed the corporate tax rate of 25% in our valuation model.
• We expect the net profit margin to remain rangebound between 67% to 68% during FY2027-33.
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 25
Equity Research | BioXyTran, Inc. (BIXT)
From FY2026 onwards, we expect the Company’s incur capex close to 13% of its net revenue each year.
Current Assets excl. cash 1.22 3.15 4.53 6.05 7.32 8.71 9.70 10.78
Less: Current Liabilities 0.34 0.44 0.58 0.77 0.96 1.14 1.31 1.48
Working Capital (WC) 0.88 2.71 3.95 5.29 6.36 7.57 8.39 9.30
Change in WC requirements 1.01 1.83 1.24 1.34 1.08 1.21 0.82 0.91
WC to Sales ratio (x) 0.12 0.14 0.14 0.14 0.14 0.14 0.14 0.14
For the purpose of forecasting account receivables, based on industry average, we have assumed receivables turnover ratio of
6.9x for the period FY2026-33.
Accounts Receivables (Turnover ratio)
PARTICULARS FY23F FY24F FY25F FY26F FY27F FY28F FY29F FY30F FY31F FY32F FY33F
Receivable
- - - 6.9 6.9 6.9 6.9 6.9 6.9 6.9 6.9
Turnover (x)
ii. Inventory
Since the Company would operate under the Licensee model from FY2026 onwards, there exists no requirement for inventory
maintenance.
For the purpose of forecasting account payables, we have assumed the same to be close to 16.4% of total operating costs each
year (based on peer analysis), during the period FY2019-25. From FY2026 onwards, we expect this ratio to increase to 21.4%
and stay at this level for the rest of the forecasting period.
Accounts Payables 16.4% 16.4% 16.4% 21.4% 21.4% 21.4% 21.4% 21.4% 21.4% 21.4% 21.4%
Post commercialization in FY26, we estimate the Company to maintain a strong and expanding free-cash-flow generating
profile with the resulting cash increases being sufficient to fund the future expansionary requirements. The Company’s FCFF is
forecasted to significantly increase from $2.56 million in 2026 to reach $39.51 million by FY33.
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Planned Capex 0.96 2.47 3.56 4.75 5.75 6.84 7.82 8.46
Working Capital (WC) 0.76 2.56 3.76 5.04 6.05 7.20 7.96 8.81
Change in WC requirements 0.99 1.80 1.20 1.28 1.02 1.15 0.76 0.85
The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 26
Equity Research | BioXyTran, Inc. (BIXT)
Ø Capital Structure:
i. Debt
We expect the Company to remain debt-free during the forecasting period generating sufficient free cash flows to meet the capex
and working capital requirements each year.
ii. Equity
Our forecast model is based on assumption that the Company would have sufficient funds to finance future expansionary plans
and would not resort to fresh capital raising during the forecast period.
For the purpose of arriving at cost of capital, we have adopted weighted average cost of capital (WACC) approach:
i. Risk premium:
We have used NASDAQ Biotechnology Industry Index (NASDAQ: NBI) Index as best proxy of the market index. For the purpose
of arriving at risk premium, we have used 3 years return on index.
Iii. Beta:
0.69. To calculate Beta, we have first arrived at the mean of unlevered Beta of the four peer company’s stock and re-levered it
based on company’s Debt to Equity Ratio. (Source: Company filings, Yahoo Finance). We have further adjusted the Company’s
cost of equity by net 300 bps to reflect company specific risk premium and by 200 bps to reflect small business risk premium.
3% p.a.
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The information contained in this report is to be read in conjunction with other important disclosures at the end of this document. 27
Equity Research | BioXyTran, Inc. (BIXT)
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