May 14, 2024 - VYGR

The Blood-Brain Barrier Breakthrough: Why Voyager Therapeutics Just Rewrote the Rules of the Game

The recent first-quarter earnings call for Voyager Therapeutics (VYGR) was a revelation, a tapestry woven with intricate threads of scientific innovation and cautious optimism. While the immediate focus rested on the exciting IND clearance for VY-TAU01, their anti-tau antibody for Alzheimer's disease, something deeper, something more profound, was quietly revealed, something I believe no other analyst has truly grasped.

Voyager, it appears, is not just developing therapies; they are unlocking a hidden door, a portal into the fortress of the central nervous system. The key? Their groundbreaking TRACER platform, and the discovery of ALPL, the receptor mediating the delivery of their remarkable capsids across the blood-brain barrier.

This is not mere hyperbole. Consider the numbers. Voyager's second-generation TRACER capsids demonstrated robust transduction of 50% to 75% of cells across diverse brain regions, reaching an astounding 95% transduction in specific cell types like Purkinje neurons, all with a clinically relevant dose of 3x10^13 vector genomes per kilogram. They even achieved 98% transduction of dopaminergic neurons in the substantia nigra and over 80% in spinal motor neurons.

These are numbers that should make any neurologist's heart beat faster. The implications are immense. We are witnessing a paradigm shift in the treatment of neurological diseases, a shift away from the blunt tools of the past towards a scalpel-like precision previously unimaginable.

But let's delve deeper, past the initial awe, and explore the hypothesis at the heart of this revolution. Voyager's research has revealed ALPL as the "receptor X" they'd been relentlessly pursuing. This highly conserved receptor, expressed on brain vasculature, acts as the gateway for their TRACER capsids, effectively ushering them across the blood-brain barrier. This is not just a discovery; it's a revelation with an impact reaching far beyond Voyager's current pipeline.

Think of it this way: Voyager has not just found a way to deliver gene therapies to the brain; they have uncovered a universal delivery system, a shuttle capable of transporting a variety of therapeutic modalities across the blood-brain barrier.

The possibilities are dizzying. Imagine conjugating ligands for ALPL to a range of macromolecules, from protein therapeutics to oligonucleotides. Imagine delivering ASOs, LNPs, and even traditional protein therapies directly to the brain, bypassing the limitations that have long hampered neurological drug development.

This is the future Voyager is quietly building, a future where neurological diseases are no longer seen as untouchable, where the blood-brain barrier becomes a bridge, not a wall.

The implications for the company's valuation are profound. Their current market cap, hovering around $447 million, pales in comparison to the potential $8.2 billion in milestone payments from their partnered programs. This doesn't even factor in the potential value of their wholly owned programs, including the tau silencing gene therapy, which could represent a single-dose, disease-modifying treatment for Alzheimer's disease.

Voyager Therapeutics, I believe, is on the cusp of greatness. They are pioneers, explorers venturing into a new world of neurogenetic medicine, and the treasures they discover could transform the lives of millions.

This is a company to watch, a company to invest in, a company that may just rewrite the rules of the game.

Transduction Rates of Voyager's Second-Generation TRACER Capsids

The following chart, derived from information in Voyager Therapeutics' Q1 2024 Earnings Call Transcript, shows the remarkable transduction rates achieved by their second-generation TRACER capsids across various brain regions and cell types.

"Fun Fact: Did you know that Voyager Therapeutics was founded by a group of leading scientists and entrepreneurs with a passion for developing innovative therapies for neurological diseases? Their journey began in 2013, fueled by a vision of unlocking the potential of gene therapy to address some of the most challenging and devastating conditions affecting the human brain."