We rate ARVN High Risk given the high stock price volatility seen for small/mid-cap biotech companies. We note the following sources of risks could disprove our target price and Neutral thesis. Upside risks include: 1) Market uptake for vepdeg in 2L+ ESR1m mBC exceeds expectations, and/or 2) initial data from early-stage PROTAC programs exceed expectations. Downside risks include: 1) Vepdeg fails to capture meaningful share in 2L+ ESR1m mBC given competitive dynamics, 2) Ph1/2 data for the AR degrader programs do not translate into a meaningful benefit over SOC in the ARV-766 pivotal study being operationalized by Novartis; and 3) unexpected safety signals are observed with one or more of Arvinas’ PROTAC programs in the clinic or in the commerical setting.
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