Update-2 3/9/23… Silicon Valley Bank Collapse triggers more selling in small cap biotechs.Sold XBI at $79 for 4% profit now at $75. Large cap biopharma holding up well in green.

Jobs grew solidly but at a slower pace.So looking for a 25 bps rate increase.

Risk off.

Update-1 3/8/23…Sell-off continues but buyers come in at close with NAZ in the green. Jobs data on Friday is pivotal. Higher rates are the new normal. A bit of a sell-off in large cap biopharma with profit taking or rotation?REGN down 3.61%! Also MRK  ABBV  BMY look to GILD and PFE for value. MACRO rules.

  • IBB bear market chart at $126; XBI nearly holding technicals at $81.
  • SMID picks holding today: CYRX, GERN, NTLA, VCYT
  • No end to chip stocks NVDA AMD etc driven by AI and China re-opening. See SMH.

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Biotech Offers Good Potential

  • Small caps are  beginning to outperform in biotech and the general market. Trading action is favorable but volatile.
  • Our core portfolio is still overweight large cap biopharma with ABBV, MRK, REGN  and VRTX. Look at value/dividend plays with GILD and PFE.
  • With UNH momentum waning can MedTech pick up momentum?

Many top strategists and pundits say don’t get too excited by last week’s 2 day rally because of the FED’s relentless commitment to higher rates. The economic data remains strong and the jobs data this Friday will help clarify, along with a FED Meeting on Mar 22. Biotech stocks offer good potential for value  and trading opportunities away from the MACRO.

But over the past week the market had a nice uptick making it harder for defensive sectors like healthcare to get traction (XLV) up only 0.51% and down almost 5% YTD.  Materials up 4% and energy up 2.94% ( but lower than the up channel) were hot last week and tech was recovering with the QQQ up 2.68% off a February bottom. More importantly for biotech investors the Russell 2000(IWM) was up 2% and the S&P Small Cap 600 (IJR) up 1.77%. So although the IBB looks horrible the trades feel much better because the XBI held the bottom near $82 and averted a breakdown after the exuberance of January.So the more speculative so-called innovation trade in small cap biotech is still on as you can see from our Portfolio picks like Evolent (EVH) and Hologic (HOLX).

Catalysts coming next week are: Barclay, Cowen and Jeffries Conferences; Seagen buyout from Pfizer?,Global central bank meetings.

Serepta(SRPT) was up 23.4% for the week on news of their muscular dystrophy gene therapy product (SRP-9001) for Duchenne which gets accelerated FDA review. We own two gene therapy stocks  CRSP and NTLA.

Our healthcare portfolio focus in 2022 was large cap biopharma and United Health.We updated the model in October 2022 adding small cap biotechs.  We still favor diversification with smaller cap biotechs. Also you need to have more weighting in MedTech with positions in ABT, FSMEX and IHI.

General approach to healthcare investing. Long ABBV, ABT, GILD, MRK, REGN, PRHSX, FSMEX, UNH, XBI.

Model
PORTFOLIO
2020 2020 2020 2021 2022 2023 2023
Stock/ETF Ticker Price Wgt Price Price P 1Y Price YTD
10/25 % 12/31 % Perf 12/31/21 12/31/22 %Perf 3/4 % Perf
iShares NAZ Bio IBB* 136 15 151.5 25.7 152.62 130.55 4.89 130.52 0.44
iShares Russell 2k IWM 163 10 196.4 18.3 222.45 174.36 -5.11 191.5 9.83
Merck* MRK 80 10 81.77 -10 76.64 110.81 38.54 106..88 -3.67
United Health UNH 330 15 350.7 27.19 502 530.27 -1.65 478.56 -9.74
SPDR S&P Bio XBI 117 10 140.8 48 111.96 83 -3.53 83.59 0.71
Healthcare SPDR XLV 108 10 113.4 14.71 140.89 135.88 -2.04 129.17 -4.92
T.Rowe Hlth Sci PRHSX n/a 5 99.65 n/a 104 89 -3.14 87.81 -2.24
iShares U.S MedT IHI 50 10 54.83 65.85 52.57 -10.48 53.47 1.71
MedTech* ABT new 5 123.5 127.46 109.83 -13.66 104.45 -4.86
Tracking Comp
ARK Genomic ARKG 93.26 61.24 28.23 -30.6 31 9.81
Direx3X Bull LABU 7.66 -54.59 6.72 -4.95
FIDO Biotech FBIOX 25.18 19.35 16.04 4.92 16.21 -0.43
FiIDO MEDtech FSMEX 76.15 83.18 61.58 -9.5 63.93 3.82
DOW DIA 310 363.32 331.34 -1.16 334.21 0.87
S&P 500 SPY 379 475 382.41 -7.23 404.19 5.69
NASDAQ-100 QQQ 315 397.85 266.33 -12.44 299.68 12.54
Top Biopharmas
Abbvie ABBV 161.64 3.76 156.06 -3.43
Bristol Myers Sq BMY 71.58 0.27 69.3 -3.68
Gilead Sci GILD V 85.39 31.37 81.07 -5.57
Eli Lilly LLY 362.94 23.12 318.43 -12.96
Merck MRK 110.94 38.54 106.88 -3.67
Pfizer PFE V 51.24 -13.97 41.15 -19.69
Regeneron REGN 721.7 27.5 779.3 8
Vertex VRTX 288.78 23..26 290.51 0.6

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