Dr Boreham’s Crucible: More medical marijuana
Health & Biotech
Health & Biotech
Doobie or die – a day of reckoning is nigh for cannabis corner stocks.
Starring (in order of appearance):
Cann Group (ASX code CAN, share price $1.84, market cap $196.7 million, shares on issue 106,893,082)
MMJ Group (MMJ, 20 cents, $46.0m, 230.15m shares)
Zelda Therapeutics (ZLD, 3.6c, $27.2m, 755.3m shares)
Impression Healthcare (IHL, 1.8c, $8.4m, 467.2m shares)
Roto-Gro Int (RGI, 32c, $33.0m, 103.2 shares – 18.4m escrow)
THC Global (THC, 43c, $54.7m, 127.3m shares – 37.5m escrow)
Botanix Pharmaceuticals (BOT, 6.9c, $52.3m, 757.4m shares
Auscann (AC8, 51c, $157.6m, 309.1m shares – 132.7m escrow)
Medlab Clinical (MDC, 38.5c, $80.1m, 208.0m shares)
Elixinol Global (EXL, $2.40, $298.9m, 124.55m shares – 77.9m escrow)
MGC Pharmaceutical (MXC, 3.7c, $44.9m, 1.2b shares)
BOD Australia (BDA, 40c, $27.8m, 69.4m shares)
Globally, the cannabis sector has seen a year of transformation with widespread liberalisation of cannabis drug laws, amid creeping cultural acceptance of the herb as both a medicinal and recreational tool.
Despite a pull-back in valuations, the ASX-listed cannabis sector has continued to sprout like some weird new strain of Quebec Gold, Granddaddy Purple or New York City Diesel.
Like Tesla chief Elon Musk toking on a doobie at a media conference in dope-friendly California, it’s all out in the open: medical cannabis is now legal in 22 countries (with South Korea heading down that path) and in 35 US jurisdictions.
In early November medical dope became legal in Britain and South Korea is moving in the same direction.
According to Cann Group CEO Peter Crock, cannabis is only just emerging as an “interesting disruptor” in both the medical and recreational spheres.
“We see it starting to move in a far more rapid way than originally expected,” says Mr Crock, who likens “cannabis years” to dog years in terms of the pace of change.
The shifting attitudes are also being reflected in the utterances of at least some of our home-grown pot stocks, who are talking just as much about the potential of North American recreational markets as therapeutic uses.
With ‘dope for fun’ legalized in California, 10 other US states and now Canada, it’s easy to see how companies are succumbing to the siren call of the recreational sector.
The value of the legal recreational market is not known, although in California it’s already meant to be bigger than the wine industry.
The trends have not been lost on alcoholic drinks maker Constellation Brands, which in August spent $US4 billion to increase its stake in Canada’s Canopy Growth from 9.9 percent to 38 percent.
Separate US market research guesstimates the size of the global prescription cannabis market at $US12 billion, but expected to grow to $US100 billion by 2025.
Prepared by the inaptly named Prohibition Partners, the Oceania Cannabis Report predicts the Australian medical cannabis market will be worth $1.2 billion by 2024 and then $3 billion by 2028.
The firm also expects the number of patients to grow to around 400,000 in the next 10 years.
But for all the hype, the Australian medical marijuana game is heavily regulated and clinical take up is slow. According to the Federal medical regulator, 1,771 applications had been approved for special access arrangements as at the end of October.
But that hasn’t stopped grower wannabees from flooding the Office of Drug Control with close to 200 applications from budding growers and import/exporters.
No spare seats in ‘cannabis corner’
Depending on what stocks you include, the ASX ‘cannabis corner’ now fills up a whole room, with 20 to 30 members. With far too many to cover, treat this as a non-comprehensive potpourri.
They’re still coming, with Cronos Australia – an arm of established Canadian supplier Cronos – mulling a listing and $50 million capital raising that would value the company at up to $200 million.
(Altria, which makes Marlboro cigarettes, reportedly wants to buy the Canadian parent).
Almost five years on since the pioneering listing of Phytotech Medical (now MMJ Group Holdings), the jury remains out on which pot stocks have the most viable and credible business models.
With talk of cannabis-infused beer, honey and gin, opportunism abounds – as well as a degree of silliness.
For example, shares in sports mouthguard maker Impression Healthcare surged 124 percent after doing a distribution deal with a US company that makes cannabis chewing gum.
Will future US presidents protest that while they did dope in their college days, they did not swallow?
Others have taken the ‘selling shovels to the miners’ approach and are selling the paraphernalia instead. For instance, Roto-Gro international boasts a hydroponic set-up that can boost yields by 60 to 85 percent.
At the same time THC Global (formerly The Hydroponics Company) has moved away from equipment to a farm-to-pharma strategy.
This includes a presence in the Canadian recreational market and the supply of third-party medicinal products to New Zealand where, unlike here, docs can prescribe cannabis treatments without specific regulatory assent.
Way to go, bro!
The biggest pot stock by market capitalization, Cann Group became the first company to grow the stuff locally, at an undisclosed site in Melbourne.
Cann is now spending $100 million building a bespoke facility at Tullamarine Airport, which puts a different slant on the term ‘flying high’.
Cann so far has harvested 24 crops, which have been purchased by Victoria’s Department of Agriculture for clinical trials and is being used in the state’s paediatric epilepsy trials.
Cann’s September quarterly report showed revenue of $2,000, so it’s off and racing.
But Cann’s Tullamarine capacity of 40,000kg to 50,000kg highlights the perils for growers of relying on the domestic medical market.
Let’s do the sums: 50,000kg is 50 million grams, with the average patient requiring only one gram a day. Put another way, Cann’s capacity alone is more than 130 times current requirements.
“We will be able to cater for all Australian regulatory uses multiple times over,” Mr Crock says. “That’s why exports are so important, as is getting up to scale and being locally competitive.”
In Canada, though, the recent legalization of recreational cannabis resulted in a shortage of medical material and “they are screaming for product”.
Clinical trials matter
Zelda Therapeutics chief Dr Richard Hopkins says the dynamics between the recreational and medical markets are still unfolding, with the former spurring a boom in wellness products such as cannabis and oils.
With the recreational stuff about two percent of the cost of medical dope, Dr Hopkins says that having a clinical emphasis – in view of a value-added product – is crucial.
Zelda has launched trials for sleep, anxiety and pain – the three broadest indications. Run in conjunction with the University of Western Australia and the California -based Aunt Zelda’s, the insomnia trial – the most advanced – is in phase II.
“Clinical trials are really hard, but that’s why we’re doing it,” Dr Hopkins says.
“We are not vertically integrated. We are not involved in growing and extracting. We are not a Jack-of-all-trades and master of none.”
Botanix is also in the clinical trial game, with three programs targeting skin conditions. The most advanced is a phase II acne study, due for completion in mid-2019.
A phase Ib study for psoriasis is also underway and a phase II study for atopic dermatitis has just been approved.
The second biggest ASX pot stock, Auscann, said in October that it had completed pilot production of a cannabinoid capsule to treat chronic and neuropathic pain.
The company says it is on target to supply the market next year.
“These medicines will then be taken through Auscann’s clinical development program for registration of an approved cannabinoid pain management pharmaceutical product,” the company says.
The company says its hard-shell capsules are a superior delivery method to cannabinoids delivered by oral liquids and sprays, or soft-shell gelatine capsules.
Unusually, Medlab Clinical has two cannabis drugs on the market: Nanabis for cancer pain and Nanabidial for chemotherapy-induced nausea and vomiting.
Are cosmetics and food additives the winning strategies?
Locally, dope medications are only available under an Australian Therapeutic Goods Administration special access scheme and the process of educating general practitioners has only just begun.
Cognisant of the medical hurdles, some of the pot stocks are targeting the food additive and cosmetics markets that don’t require such a high standard of clinical proof.
Led by global hemp expert Paul Benhaim, Elixinol owns the established hemp supplements business Hemp Foods Australia, while it’s also a big supplier of industrial hemp in the US. Only this week, Donald Trump signed off on the Hemp Farming Act, which means low-psychoactive hemp will be treated as any other agricultural commodity, rather than a controlled substance.
In the six months to June 30, 2018, Elixinol sold $12.5 million of cannabis dietary supplements, while here the hemp-derived foods business turned over $2.3 million.
MGC Pharmaceuticals (as in Medical Grade Cannabis) actually produced a line of cosmetics under the Derma Plus brand, which are available in Britain’s upmarket Harvey Nichols stores.
But MGC is in the process of selling its cosmetics business to Canada’s Cannaglobal, in return for a 10 percent Cannaglobal stake and a five-year supply deal.
That leaves the Europe-focused MGC targetting its seed-to-pharma strategy revolving around growing the stuff at a state-of-the art facility in Malta and its epilepsy treatment Cannepil.
BOD Australia has established skincare lines but is dabbling with cannabis-based ones, as well as a sublingual wafer to deliver medical cannabis.
The maple syrup nexus
Once better known for its mooses and maple syrup – not that we’re into national stereotypes – Canada led the way on medical marijuana and has now liberalised recreational dope after some bruising public debate.
Canadian dope stocks also have a huge bearing on our market: Cann is 23 percent owned by Aurora, while Canopy Growth accounts for 11 percent of Auscann.
These days, pot pioneer MMJ is a global cannabis investment company, the biggest of its nine holdings being a 27 percent stake in Canada’s Harvest One.
Pot stocks take a breather
Valuation-wise, most of the pot stocks have retracted sharply from their euphoric highs experienced in January and February. Over the last 12 months stocks including Zelda, Medlab, TPI, MGC, Esense, Stemcell, Lifespot and Creso have halved in value.
It remains to be seen whether this is the correction we had to have, or the onset of the sector going to pot. Of course, market sentiment overall has been abysmal and ‘biotechie speccies’ will be among the first to suffer.
Dr Boreham’s diagnosis:
There’s little doubt that the Canadian and US markets for both medical and recreational dope are capacious – and growing.
But so too is the competition, with no shortage of established providers. As with any other agricultural commodity, the laws of supply and demand will come to the fore.
For what it’s worth, your columnist believes that a handful of the cannabis corner inhabitants will do okay.
But many will make a hash of it because they don’t have a unique offering in a commoditised market that happens to have more allure than soy beans or grain bushels.
Consolidation of the sector looks inevitable, both here and in Canada where 150 cannabis stocks vie for attention.
This column first appeared in Biotech Daily
Disclosure: Dr Boreham is not a qualified medical practitioner and does not possess a doctorate of any sort. His displayed knowledge of cannabis strains derives strictly from Google and not first-hand experience.