Risk-Adjusted NPV (rNPV) in Drug Development | Vose Software

ModelRisk example · Pharmaceuticals and biotech

Drug Development Risk-Adjusted NPV

What is a compound in Phase II worth — and should we develop it ourselves or license it out?

  • Complexity: ★★★★★
  • Free Excel workbook (PH-03)
  • Needs ModelRisk: free trial

From the model’s saved run

What is the compound worth?

NPV today, US$m. rNPV: the industry's stage-weighted calculation. Simulated: the mean of 10,000 development paths.

StrategyrNPV textbookMean NPV simulatedChance of a loss1 in 20 worst (P5)1 in 20 best (P95)
Develop it alone76.761.582%−143.1713.2
License it after Phase II53.545.565%−31.8379.2
Chance that licensing does better20%
NPV — cumulative probability

The business question

A biotech company's lead compound is entering Phase II for a chronic inflammatory disease. Phase II takes about two years and US$30 million and succeeds about one time in three; Phase III takes about three years and US$150 million and succeeds 60% of the time. The regulator approves nine filings in ten.

A launched product would grow to its peak sales in about four years — between US$300 million and US$1.2 billion a year — until the patent expires at the end of 2041, when generics take most of the market.

A larger company offers to license the compound if Phase II succeeds: US$60 million on signing, US$40 million on Phase III success, US$60 million on approval and a 15% royalty, while it pays for Phase III, the filing and the launch. The board wants to know what the compound is worth, and whether to accept the offer.

Who it is for
Biotech and pharma business development, portfolio and finance teams; investors in drug development.
Main outputs
NPV of developing alone and of licensing: the textbook rNPV and the simulated mean, the chance of a loss, 1-in-20 outcomes · what each outcome is worth — failure in Phase II or III, rejection, launch · the stage-by-stage rNPV · how the value grows at each milestone.

How the model works

Three sheets after this one, read from left to right. Each one feeds the next.

  1. Inputs sheet

    For Phase II, Phase III and the regulatory review: duration and cost (PERT) and the chance of success. The peak sales (Lognormal from P10 and P90), the years to peak, the patent expiry and the sales left after it, the operating margin and the launch cost. The licensing offer. The discount rate.

  2. Development sheet

    VoseBernoulli decides whether each phase succeeds. Each phase's cost is spread over its years. The product launches when the review ends, so a late approval leaves fewer years before the patent expires. Cash flows for developing alone and for licensing after Phase II are discounted to today.

    The textbook rNPV repeats the calculation on the most likely path and weights each stage by the chance of reaching it.

  3. Results sheet

    For both strategies: the rNPV, the simulated mean NPV, the chance of a loss and the 1-in-20 outcomes. The chance of each outcome and what the compound is worth in it; the rNPV stage by stage; the value once each milestone is passed.

ModelRisk techniques

  • Phase success VoseBernoulli
  • PERT durations and costs
  • Peak sales from P10/P90 VoseLognormalAlt
  • Late launch, shorter exclusivity
  • rNPV vs simulated NPV
  • Two strategies, same outcomes
  • Conditional means

Find similar models

Product

The results in detail

What happens, and what it is worth

The chance of each outcome, the mean NPV when it happens, and its contribution to the mean NPV (US$m).

NPV developed alone — distribution
OutcomeChanceAlone NPV if it happensLicensed NPV if it happensAlone share of meanLicensed share of mean
Fails in Phase II65.1%−27.9−27.9−18.2−18.2
Fails in Phase III14.7%−136.621.4−20.13.1
Rejected by the regulator2.1%−139.246.3−3.01.0
Launched18.1%566.6328.7102.759.6
All outcomes100.0%61.545.5

Share of mean: the outcome's chance × its mean NPV. The shares add up to the mean NPV.

The textbook rNPV, stage by stage

Most likely path, expected peak sales; each stage weighted by the chance of reaching it.

MeasureUnitValue
Phase IIUS$m−27.3
Phase III, × the chance of starting itUS$m−37.7
Regulatory review, × the chance of filingUS$m−0.6
Market, × the chance of launchingUS$m142.4
rNPV, developed aloneUS$m76.7
NPV if every stage succeeds (unrisked)US$m615.2
Simulated mean NPV, developed aloneUS$m61.5
Simulated mean less rNPVUS$m−15.2

How the value grows at each milestone

Expected NPV today of the futures that pass each milestone (US$m), from the outcome table.

MeasureUnitValue
Today, before Phase IIUS$m61.5
Once Phase II succeedsUS$m228.0
Once Phase III succeedsUS$m492.4
Once approvedUS$m566.6
Licensed, once Phase II succeedsUS$m182.3

How to read these results

  • The textbook rNPV — each stage's value on the most likely path, weighted by the chance of reaching it — values the compound at about US$77 million if the company develops it alone.

    The simulated mean is lower, about US$61 million in this run: development often runs late, and every month late is a month less of sales before the patent expires, which a single most likely path cannot see. (About ±6 of the gap is sampling error at 10,000 samples.)

  • The mean hides the shape. The company loses money in 82% of futures — about US$28 million if Phase II fails, about US$137 million if Phase III fails — and all the value comes from the 18% in which the compound launches, worth about US$570 million.
  • Licensing after Phase II is worth less on average, about US$46 million, but the worst 1-in-20 outcome falls from a loss of about US$143 million to one of US$32 million: the partner carries the Phase III risk. A company that could not survive a Phase III failure should take the offer. One that could might develop alone, or negotiate a higher royalty.
  • The value steps up at each milestone: from about US$61 million today to about US$228 million once Phase II succeeds and about US$492 million once Phase III succeeds. These steps are what investors pay for, and why biotech companies raise money after good data.
  • A rank-correlation tornado misleads here: it ranks the Phase II cost above Phase II success, because a successful Phase II leads either to the largest losses (a failed Phase III) or to the largest gains, and their ranks cancel. Values by outcome and by milestone tell the story better.

See it move. Open the workbook, change an input on the Inputs sheet and run the simulation: every table and chart on this page updates in Excel.

Inputs and assumptions

Every assumption in the model, with its uncertainty and where it comes from. The figures are illustrative.

Development 9 inputs

Each phase's duration and cost, and its chance of success.

AssumptionUnitUncertaintyLowMost likelyHigh
Phase II: durationRecruitment and 24 weeks' treatment.yearsPERT1.502.003.00
Phase II: costUS$mPERT25.030.040.0
Phase II: chance of successBenchmarks for the therapeutic area: 30–40%.probabilityFixed35%
Phase III: durationTwo pivotal trials.yearsPERT2.503.004.50
Phase III: costUS$mPERT120.0150.0200.0
Phase III: chance of successprobabilityFixed60%
Regulatory review: durationFiling to approval.yearsPERT0.801.001.50
Regulatory review: costUS$mPERT4.05.07.0
Regulatory review: chance of approvalprobabilityFixed90%
The market 9 inputs
AssumptionUnitUncertaintyLowMost likelyHigh
Peak salesThe commercial team's forecast: 10% chance below 300, 10% above 1,200.US$m a yearLognormal · P10, P90300–1,200
Years from approval to peak salesSales grow in a straight line from approval to peak.yearsFixed4.0
Patent expires at the end ofyearFixed2041
Sales after expiry: first yearGeneric entry.of peakFixed35%
Sales after expiry: second yearof peakFixed15%
Sales after expiry: third yearof peakFixed10%
Sales after expiry: later yearsof peakFixed5%
Operating marginAfter cost of goods, marketing and distribution.of salesFixed45%
Launch costIn the year of approval.US$mFixed80
Licensing offer 4 inputs

If Phase II succeeds, a partner takes the compound and pays for everything after Phase II.

AssumptionUnitValue
On signing, after Phase IIUS$m60
Milestone on Phase III successUS$m40
Milestone on approvalUS$m60
Royalty on salesof sales15%
Finance 2 inputs
AssumptionUnitValue
Discount rateCost of capital for development-stage biotech.per year10.0%
Phase II starts on 1 Januaryyear2027

Units and conventions

Money
US$ million (US$m), before tax; cash flows discounted from the middle of each year.
Time
Year 1 is 2027; Phase II starts on 1 January 2027.
rNPV
Risk-adjusted NPV: each stage's cash flows on the most likely path, weighted by the chance of reaching that stage, with the expected peak sales.
NPV, simulated
The NPV of each simulated path; its mean is the compound's expected value.

Key assumptions and limitations

Phases
Back to back; a failed phase ends development, and nothing is recovered.
Sales
Grow in a straight line from approval to peak. After the patent expires they fall to the shares given; no tax, no terminal value after 2046.
Licensing
The partner pays everything from Phase III on; payments arrive in the year of the event.
Data
The company, the compound and all figures are invented for this example.

How to use it

  1. Enter your phases' durations, costs and success rates — from your plan and industry benchmarks.
  2. Enter the peak-sales forecast as a P10 and a P90, the uptake, the patent expiry and the margin.
  3. Enter the terms of the licensing offer, then run a simulation (10,000 samples with a fixed seed are set).
  4. Compare the strategies on value and on risk: the company that cannot survive a US$140 million loss may prefer the lower value with the smaller downside.

ModelRisk functions used

VoseBernoulli
Whether each phase succeeds.
VosePERT
Durations and costs of the phases.
VoseLognormalAlt
Peak sales from the forecast's P10 and P90.
VoseInput, VoseOutput
Mark the uncertain inputs and the outputs.
VoseSimMean, VoseSimPercentile, VoseSimProbability
Statistics of the simulation on the Results sheet.

Further reading

  • Monte Carlo simulation explained (Vose guide)
  • Stewart, J. J., Allison, P. N. & Johnson, R. S. (2001). Putting a price on biotechnology. Nature Biotechnology 19, 813–817.
  • BIO, Informa & QLS (2021). Clinical Development Success Rates 2011–2020.
  • Vose, D. (2008). Risk Analysis: A Quantitative Guide, 3rd edition. Wiley.