REAL-TIME GLOBAL RESEARCH
Expecting Guidance Upgrade Cycle to Continue & Baking in Higher Rebates
Research evidence excerpt
Expecting Guidance Upgrade Cycle to Continue & Baking in Higher Rebates
% below cons EBIT for 2027E.
Neffy Phase II in acute flares could provide mid-s.d.% upside: Investors have yet to attribute
value to the neffy (nasal adrenaline) opportunity to treat acute flares of chronic spontaneous
urticaria (hives), for which ALK has rights in key EU and Canadian markets, despite the potential
to double the asset's commercial opportunity, in our view. Phase IIb interim data from partner
around 4Q26E should further de-risk and increase investor interest in the indication (JEFe c.
$400m peak sales). Positive results could provide up to mid-s.d.% stock upside.
House dust mite tablet opportunity in China also remains overlooked: Following recent
partnership with local distributor GenSci, we see potential for $500+m peak in-market house
dust mite tablet sales, resulting in JEFe c.$190m peak royalties to ALK. China represents a
significant market opportunity given that some 100m patients are sensitive to house dust
mites, with potential Phase III results around end-2026E/early-2027E to enable launch by
2028E.
Retain Buy: Our optimism for continued momentum is driven by: (1) Our +14.5% 2027-2030E
CER Sales CAGR, above cons, underpinned by continued paeds tablet launch strength and
initial contributions from new growth opportunities; (2) Confidence in the peanut allergy tablet
as a blockbuster opportunity, with potential to take a platform approach to food allergy
to replicate successes with respiratory allergies; and (3) Belief that the long-term growth
trajectory of ALK is undervalued given neffy in CSU acute flares and house dust mite tablet
launch in China are both overlooked, with our top-line forecasts 10+% ahead of both cons top-
line profits forecasts 2030E+.
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