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Can financial engineering cure Can financial engineering cure cancer? cancer? A new approach to funding large scale biomedical innovation Andrew W. Lo Andrew W. Lo (joint work with JoseMaria Fernandez and Roger M. Stein) Sloan Reunion 2012 Sloan Reunion 2012 June 8, 2012 The contents of this presentation are based on the research carried out at the MIT Laboratory for Financial Engineering by JoseMaria Fernandez, Roger M. Stein and Andrew W. Lo. For total or partial reproduction please contact jose[email protected] 2012 by JoseMaria Fernandez, Roger M. Stein, Andrew W. Lo All Rights Reserved

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Page 1: Andrew Lo

Can financial engineering cure Can financial engineering cure cancer?cancer?A new approach to funding large scale biomedical innovation

Andrew W. LoAndrew W. Lo(joint work with Jose‐Maria Fernandez and Roger M. Stein)

Sloan Reunion 2012Sloan Reunion 2012June 8, 2012

The contents of this presentation are based on the research carried out at the MIT Laboratory for Financial Engineering by Jose‐Maria Fernandez, Roger M. Stein and Andrew W. Lo. For total or partial reproduction please contact jose‐, g p p p [email protected]

2012 by Jose‐Maria Fernandez, Roger M. Stein, Andrew W. LoAll Rights Reserved

Page 2: Andrew Lo

Summary Biomedical innovation has three important characteristics:

– Expensive, risky, and lengthyExpensive, risky, and lengthy

Traditional funding vehicles are not ideal (private/public equity)

Ri k i     f th   i  i  ( l it  FDA   t t  liff) Risk is one of the main issues (complexity, FDA, patent cliff)

Diversification is the solution: large pooled vehicles lower risk

With sufficient diversification, long‐term debt is possible– More patient capital, but still imposes discipline (interest payments)– Much larger pool of capital, allowing greater participation– The financial technology and institutions already exist

The nat ral scale req ired is $  to $30 billion The natural scale required is $5 to $30 billion

Using financial engineering, this is achievable today

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 2

Page 3: Andrew Lo

Lessons from the financial crisis?

Pension

Commercial BanksMutualF d

PensionFunds

Ra

Age

$$$$$$

Investment Banks

Mortgage Companies

Fannie Mae

Funds

SovereignWealth Funds

atingencies

InC $$$$$$Fannie Mae

Freddie Mac

PoliticiansFoundations,Endowments

nsurance &D

S Market $$$$$$

HedgeFunds

© 2012 by Fernandez, Stein, and Lo  All Rights Reserved Slide 3MIT LFE

Page 4: Andrew Lo

Lessons from the financial crisis?

Real Home Price Index (1890-2006)200

160

180

Rat

e

120

140

or In

tere

st R

80

100

120

Inde

x o

60

80

1880 1900 1920 1940 1960 1980 2000 2020

Source: Robert J. Shiller, Irrational Exuberance, 2nd. Edition.

Year To get back to long-run average, we need 45% real drop( 35% i l d )

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 4

(= 35% nominal drop)

Page 5: Andrew Lo

Consider simple securitization example

I.O.U.$1,000 $1,000

90%Price = 90% × $1,000 + 10% × $0

= $900

$0 (Default)10%

I.O.U.$1,000 $1,000

90%Price = 90% × $1,000 + 10% × $0

= $900

$0 (Default)10%

© 2010 by Andrew W. Lo All Rights Reserved9/21/2010 Slide 5

Page 6: Andrew Lo

Consider simple securitization example

I.O.U.$1,000

MBS$1,000

Senior TranchePortfolio

I.O.U.$1,000

MBS$1,000

Junior Tranche

© 2010 by Andrew W. Lo All Rights Reserved9/21/2010 Slide 6

Page 7: Andrew Lo

Consider simple securitization example

Assuming Independent

I.O.U.$1,000

Portfolio

Assuming IndependentDefaults

Value Prob.

$2,000 81%Portfolio $1,000 18%

$0 1%

I.O.U.$1,000

$0 1%

© 2010 by Andrew W. Lo All Rights Reserved9/21/2010 Slide 7

Page 8: Andrew Lo

Consider simple securitization example

Assuming Independent Defaults

MBS$1,000 Portfolio

Value Prob. Senior Tranche

Junior Tranche

Senior Tranche

$2,000 81% $1,000 $1,000

$1,000 18% $1,000 $0$ , $ , $

$0 1% $0 $0

MBS$1,000 Bad State

For SeniorTranche (1%)

Bad StateFor Junior

Junior Tranche

Tranche (1%) For JuniorTranche (19%)

© 2010 by Andrew W. Lo All Rights Reserved9/21/2010 Slide 8

Page 9: Andrew Lo

Consider simple securitization example

Assuming Independent Defaults

MBS$1,000 Portfolio

Value Prob. Senior Tranche

Junior Tranche

Senior Tranche

$2,000 81% $1,000 $1,000

$1,000 18% $1,000 $0

$0 1% $0 $0

MBS$1,000 Price for Senior Tranche = 99% × $1,000 + 1% × $0

= $990

Price for Junior Tranche = 81% × $1 000 + 19% × $0

Junior Tranche

Price for Junior Tranche = 81% × $1,000 + 19% × $0= $810

© 2010 by Andrew W. Lo All Rights Reserved9/21/2010 Slide 9

Page 10: Andrew Lo

Consider simple securitization example

Non‐Investment Grade

“Similar” to Junior

Tranche?

“Similar” to S i

Tranche?

Senior Tranche?

© 2012 by Fernandez, Stein, and Lo  All Rights Reserved Slide 10MIT LFE Source: Moody’s.

Page 11: Andrew Lo

Lessons from the financial crisis?

U.S. Bond Market Debt Issuance ($Billions)

Corporate Federal AgencyMunicipal Treasury1 Mortgage‐Related2 Debt3 Securities Asset‐Backed Total

1996 185.2  612.4  479.7 343.7 277.9 168.4 2,067.21997 220.7  540.0  577.6 466.0 323.1 223.1 2,350.51998 286.8  438.4  1,118.1 610.7 596.4 286.6 3,336.91999 227.5  364.6  985.4 629.2 548.0 287.1 3,041.82000 200.8  312.4  660.0 587.5 446.6 281.5 2,488.82001 287.7  380.7  1,663.9 776.1 941.0 326.2 4,375.62002 357.5 571.6 2,283.0 636.7 1,041.5 373.9 5,264.22002 357.5  571.6  2,283.0 636.7 1,041.5 373.9 5,264.22003 382.7  745.2  3,084.3 775.8 1,267.5 461.5 6,717.02004 359.8  853.3  1,879.0 780.7 881.8(4)   651.5 4,524.32005 408.2  746.2  2,182.4 752.8 669.0 753.5 5,512.12006 386.5  788.5  2,088.8 1,058.9 747.3 753.9 5,823.92007 429 3 752 3 2 186 2 1 127 5 941 8 509 7 5 946 82007 429.3  752.3  2,186.2 1,127.5 941.8 509.7 5,946.82008 389.5  1,037.3  1,362.2 707.2 984.5 139.5 4,620.22009 409.8  2,185.5  2,041.4 901.8 1,117.0 150.9 6,806.42010 433.1  2,303.9  1,742.7 1,062.7 1,032.6 109.4 6,684.5

1 Interest bearing marketable coupon public debt.2 Includes GNMA, FNMA, and FHLMC mortgage‐backed securities and CMOs and private‐label MBS/CMOs.3 Includes all non‐convertible debt, MTNs and Yankee bonds, but excludes CDs and federal agency debt. 4 Beginning with 2004 Sallie Mae has been excluded due to privatization Source: SIFMA

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 11

4 Beginning with 2004, Sallie Mae has been excluded due to privatization. Source: SIFMA

Page 12: Andrew Lo

Consider simple securitization example

Assuming Independent Defaults

MBS$1,000 Portfolio

Value Prob. Senior Tranche

Junior Tranche

Senior Tranche

$2,000 81% $1,000 $1,000

$1,000 18% $1,000 $0

$0 1% $0 $0

MBS$1,000

But What If Defaults BecomeHi hl  C l t d?

Junior Tranche

Highly Correlated?

© 2010 by Andrew W. Lo All Rights Reserved9/21/2010 Slide 12

Page 13: Andrew Lo

Consider simple securitization example

20250

Effective Fed Funds Rate June 2006: 226.29

S&P Case Shiller Composite 10 Index (nominal)

16200

S&P/CaseShiller Composite 10

Updated June 1, 201233.5%

12150

s R

ate

(%)

evel

8100

Fed

Fund

s

Inde

x Le

April 2009: 150.44July 1996: 78.10

450

Effe

ctiv

e

00

Jan-

87Ja

n-88

Jan-

89Ja

n-90

Jan-

91Ja

n-92

Jan-

93Ja

n-94

Jan-

95Ja

n-96

Jan-

97Ja

n-98

Jan-

99Ja

n-00

Jan-

01Ja

n-02

Jan-

03Ja

n-04

Jan-

05Ja

n-06

Jan-

07Ja

n-08

Jan-

09Ja

n-10

Jan-

11Ja

n-12

Jan-

13

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 13

J J J J J J J J J J J J J J J J J J J J J J J J J J J

Page 14: Andrew Lo

Consider simple securitization example

Assuming Perfectly Correlated Defaults

MBS$1,000 Portfolio

Value Prob. Senior Tranche

Junior Tranche

Senior Tranche

$2,000 90% $1,000 $1,000

$0 10% $0 $0

Bad StateFor Senior

MBS$1,000

For SeniorTranche (10%) Bad State

For JuniorTranche (10%)

Junior Tranche

Tranche (10%)

© 2010 by Andrew W. Lo All Rights Reserved9/21/2010 Slide 14

Page 15: Andrew Lo

Consider simple securitization example

Assuming Perfectly Correlated Defaults

MBS$1,000 Portfolio

Value Prob. Senior Tranche

Junior Tranche

Senior Tranche

$2,000 90% $1,000 $1,000

$0 10% $0 $0

Price for Senior Tranche = 90% × $1,000 + 10% × $0$900 ( $990)

MBS$1,000 = $900 (was $990)

Price for Junior Tranche = 90% × $1,000 + 10% × $0= $900 (was $810)

Junior Tranche

$ ( $ )

© 2010 by Andrew W. Lo All Rights Reserved9/21/2010 Slide 15

Page 16: Andrew Lo

Where did all the money go??

Mortgages Outstanding and Equity Extractions

© 2009 by Khandani, Lo, and Merton

All Rights Reserved9/10/2009 Slide 16

Page 17: Andrew Lo

How could this have happened to us?

Hall of Shame?: HomeownersHomeowners Commercial banks Investment banks and other issuers of MBSs, CDOs, and CDSs Mortgage lenders, brokers, servicers, trustees Credit rating agencies (S&P, Moody’s, Fitch)I   i  ( ltili   li ) Insurance companies (multiline, monoline) Investors (hedge funds, pension funds, mutual funds, others) Regulators (SEC  OCC  CFTC  Fed  etc )Regulators (SEC, OCC, CFTC, Fed, etc.) Government sponsored enterprises Politicians

Is the financial sector becoming too big?

© 2012 by Fernandez, Stein, and Lo All Rights ReservedMIT LFE Slide 17

Page 18: Andrew Lo

Is the financial sector becoming bigger? Yes!

© 2012 by Fernandez, Stein, and Lo All Rights ReservedMIT LFE Slide 18

Page 19: Andrew Lo

Why?

World Population, 10,000 BC to 2011 AD

Source: U S Census

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 19

Source: U.S. Census.

Page 20: Andrew Lo

Innovation requires collaboration

Collaboration requires financial infrastructure…P i t  i t t Private investment

Well‐functioning capital marketsP  d i   f  i i Proper design of securities

Accounting, legal, regulatory structuresb l Systemic stability

and aligned incentives (human behavior) …and aligned incentives (human behavior) Fear works faster Greed lasts longer Greed lasts longer

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 20

Page 21: Andrew Lo

An example…The DARPA network challenge Find 10 red balloons in fixed locations in U S Find 10 red balloons in fixed locations in U.S. $40K prize to first team to find all 10 locations MIT team won MIT team won 8:52:41! How??

Financial engineering! Financial engineering! $4,000 per balloon if they won=  $2,000 to locator +

      h   k d l  $1,000 to person who asked locator +$    500 to person who asked person  + …+  remainder to charity

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 21

Page 22: Andrew Lo

An example…Real Home Price Index (1890-2006)

200

E = mcE = mc22

160

180

Rat

e

120

140

or In

tere

st R

80

100

120

Inde

x o

60

80

1880 1900 1920 1940 1960 1980 2000 2020

Source: Robert J. Shiller, Irrational Exuberance, 2nd. Edition.

Year

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 22

Page 23: Andrew Lo

The power of global capital markets

What if we could focus this power for ”good”? Financial engineering with a “conscience” Financial engineering with a  conscience Apply expertise to tackling society’s biggest challenges Facilitate collaboration  collective intelligence Facilitate collaboration, collective intelligence

With the proper financial engineering, we believe we can solve the following problems within the next 20 years:1. Cancer2. Energy crisis3. Global warming

How?

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 23

Page 24: Andrew Lo

Curing cancer Cancer is a complex and growing conjoint of over 200 diseases Many possible mechanisms for fighting cancer: 

over 900 drugs and vaccines being developed  Inventory of 20+ years of late‐stage drugs to be financed (Stewart and Naeymi‐Rad, 2010)

Pharma cannot pursue more than a few; VC resources are limitedp R&D productivity has fallen over the past few years

FDA New Drug Approvals

53

3940

50

60

New molecular entities

Biologics license application

2521

29 3035

2724

1721

31

18 18 1621 19

15

24

20

30

40

total app

rovals

15

3 2 03

6 73 2

5 7 6 52 4 2 3

6 6 6

0

10

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 24

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Page 25: Andrew Lo

Curing cancer: would you invest?

Would you invest in a single drug discovery project?   Consider the following stylized example:Consider the following stylized example:

Investment per new compound $200MM 5% success rate, 10‐year development cycle5% success rate, 10 year development cycle Net income of approved blockbuster drug = $2b/year for 10 years PV10 (y 11‐20@ 10% cost of capital) = $12.3b

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 25

Page 26: Andrew Lo

Curing cancer: would you invest?

Would you invest in a single drug discovery project?   Consider the following stylized example:Consider the following stylized example:

Investment per new compound $200MM 5% success rate, 10‐year development cycle5% success rate, 10 year development cycle Net income of approved blockbuster drug = $2b/year for 10 years PV10 (y 11‐20@ 10% cost of capital) = $12.3b

Return: SUCCESS:   51% = (12.3/0.2)1/10  1 

E[R] = 11.9%

Ri k   S d d d i i   f  li d ROI %%

FAILURE:  100%

Risk:  Standard deviation of annualized ROI: 423.5%423.5%

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 26

Page 27: Andrew Lo

Curing cancer: would you invest?What if you had the option of investing in 150 new drug programs at the same time?

ROI and Probabilities  Risk

Standard deviation of annualized ROI =  Probability of at least 5 successes is  87.4 % Standard deviation of annualized ROI    = 423% √150) = 34.6%

Probability of at least 5 successes is  87.4 %ROI( exactly 5 success) = (5*12.3/30)^0.1‐1 = 7.4%   

© 2012 by Fernandez, Stein, and Lo  All Rights Reserved Slide 27MIT LFE

Page 28: Andrew Lo

Curing cancer: would you invest?

Phase IIPhase III

Approved

WD/SoldPhase I

Phase II

WD/SoldWD/Sold

WD/Sold

/ ldPhase III

Approved1

WD/Sold

Phase IPhase II

WD/SoldWD/Sold

WD/Sold

2 WD/SoldWD/Sold

Ph IIIApproved

Phase IPhase II

Phase III

WD/SoldWD/Sold

150 WD/SoldWD/Sold

Year 1 Year 2 Year 3 Year 4 Year 10

150

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 28

Year 1 Year 2 Year 3 Year 4 … Year 10

Page 29: Andrew Lo

Curing cancer: would you invest?

R id lE i • ResidualEquity

• Interest PaymentsA Bonds

I t t P tA B d • Interest PaymentsAa Bonds

• Interest PaymentsAaa Bonds

Year 1 Year 2 Year 3 Year 4 Year 10

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 29

Year 1 Year 2 Year 3 Year 4 … Year 10

Page 30: Andrew Lo

Curing cancer: would you invest?

Given the reduction in risk, debt‐financing is now possible!

Default probability is determined by the probability of hits Default probability is determined by the probability of hits:

$16.8B of Aaa debt can be issued With securitization, debt capacity may be even larger

© 2012 by Fernandez, Stein, and Lo  All Rights Reserved Slide 30MIT LFE

Page 31: Andrew Lo

Research Based Obligations (RBOs)

Business structure of a biomedical megafund SPVFunds are raised from retail or institutional investors (1) through the capital markets issuance (2) of various typesof debt and equity. These funds are invested in molecules being developed to cure cancer (3). Some funds arereserved to pay for later clinical development costs and, if required, to cover the first few periods of couponpayments. The portfolio of drugs is developed over time (4). At any time a compound can be discontinued, moveto the next phase or even two phases ahead based on the results of the trials done. It is also possible thatcompounds are sold prior to their FDA approval for marketing if it is necessary to monetize them to cover someof the fund interest or principal payments. Any com‐ pound that is approved for marketing as a new drug is soldto a biopharma company. At the end of the life of the fund, all remaining compounds in the portfolio are sold (5).After bondholders are paid back (6), the residual cash is used to pay back the equity holders (7).

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 31

Page 32: Andrew Lo

Research Based Obligations (RBOs)

Is there capacity/appetite from investors?  In 2010:U S  b d  k t  $ T U.S. bond market: $35T

Mutual funds: $12T Money‐market funds: $1T Norwegian sovereign wealth fund: $537BNorwegian sovereign wealth fund: $537B CalPERS: $226B T t  t   f  6  bli  f d  ( )  8% Target return of 126 public funds (2010): 8%

I    th   i   f th   ti  VC i d t     6BIn 2010, the size of the entire VC industry was $176B

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 32

Page 33: Andrew Lo

Research Based Obligations (RBOs)

How does this model differ from existing solutions? Debt financing thro gh risk mitigation (compared to 0 companies!) Debt‐financing through risk mitigation (compared to 150 companies!)

Industry risk instead of single‐company risk

Investing in intellectual property  not existing companies Investing in intellectual property, not existing companies

Investing in early stage projects (“valley of death”), not just mature products

Capital structure of the fund better matches investor preferences Capital structure of the fund better matches investor preferences

Access to vastly larger pools of potential investors

Long term debt facilitates potentially longer investment horizons Long‐term debt facilitates potentially longer investment horizons

All stakeholders benefit (investors, managers, researchers, insurers, regulators  patients)regulators, patients)

Funding mechanism creates a new, more powerful, and sustainable bridge between capital markets and sciencep

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 33

Page 34: Andrew Lo

Research Based Obligations (RBOs)

How would various stakeholders be affected?  VCs   reduces future finance risks to take on projects currently unfunded VCs:  reduces future‐finance risks to take on projects currently unfunded

Biopharma:  larger supply of drugs to distribute, lower risk, greater liquidity

Drug development companies  more business  resources  and liquidity Drug development companies: more business, resources, and liquidity

Investors: new supply of investable assets with less correlated returns

Health insurance companies  new ways to hedge their balance sheets Health insurance companies: new ways to hedge their balance sheets

Investment bankers: new business using existing infrastructure, PR

Government  regulators  new opportunities to  increase private sector  Government, regulators: new opportunities to  increase private‐sector involvement in the funding of innovation; jobs; politically popular issue

Foundations: new channel through which to support their goalsFoundations: new channel through which to support their goals

Society:New, faster, cheaper cures!

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 34

Page 35: Andrew Lo

Research Based Obligations (RBOs)

What are some of the potential challenges?  Size:  managing large portfolios of complex R&D projects may require new  Size:  managing large portfolios of complex R&D projects may require new management and governance structures (e.g., Manhattan Project)

Centralization:  must preserve the benefits of diversity as scale increases p y

Capacity:  is the talent pool large enough to match the scale of this venture?

Complexity: can investors understand the risks and rewards of RBOs?p y

Excesses: if successful, the potential for abuse will also increase

Ethics:  how to balance profit motive vs. social objectives for cures?Ethics:  how to balance profit motive vs. social objectives for cures?

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 35

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Research Based Obligations (RBOs)

With Some Imagination, This Can Be Achieved! Imagine creating a $30B “Cure For Cancer” megafund Imagine creating a $30B  Cure For Cancer  megafund Imagine creating an advisory board of experts:

Francis Collins  Eric Lander  Bob Langer  Phil Sharp  Harold Varmus   Francis Collins, Eric Lander, Bob Langer, Phil Sharp, Harold Varmus, Craig Venter; Warren Buffett, Bill Gates, Jacob Goldfield, Bob Merton, Jim Simons, George Soros, Bill Sharpe

I i   MM h h ld  i ti     h Imagine 10MM households investing $3,000 each Imagine corporate pension funds, foundations, 

d t  i   i  i ti     llendowments, insurance companies investing as well Imagine government tax incentives, credit 

h t   t  (thi k F i  M  F ddi  M !)enhancement, etc. (think Fannie Mae, Freddie Mac!)

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 36

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Conclusion

Don’t Declare War On Put A Price Tag On ItsDon t Declare War On Cancer…

Put A Price Tag On Its Head Instead!

With Sufficient Scale, We Can Do Well By Doing Good

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 37

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Conclusion

“Can We Afford It?”Not To Try?”– heart disease, Alzheimer’s, dementia, 

diabetes, obesity, H1N1, energy crisis, climate change, solar flares

With the Proper

c ate c a ge, so a a es

With the Proper Financial Structure,Financial Structure, AnythingAnything Is Possible!

© 2012 by Fernandez, Stein, and Lo  All Rights ReservedMIT LFE Slide 38

Page 39: Andrew Lo

Thank You!Thank You!