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Annual Financial Report

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RNS Number : 6492G  RTW Venture Fund Limited  31 March 2022

 LEI: 549300Q7EXQQH6KF7Z84

31 March 2022

 

RTW Venture Fund Limited

 

Annual Report and Audited Financial Statements for the Year Ended 31 December
2021

Record number of portfolio company IPOs, providing strong valuation step-ups

 

RTW Venture Fund Limited ("RTW" or the "Company"), a London Stock
Exchange-listed investment fund focused on identifying transformative assets
with high growth potential across the life sciences sector, is pleased to
announce its Annual Results for the year ended 31 December 2021.

 

Financial Highlights - further deployment progress

 RTW Venture Fund Limited           Year-end reporting period (01/01/2021-31/12/2021)  Year-end reporting period (01/01/2020-31/12/2020)  Admission (30/10/2019)
 Ordinary NAV                       US$363.0 million                                   US$375.3 million                                   US$168.0 million
 NAV per Ordinary Share             US$1.71                                            US$1.96                                            US$1.04
 NAV Growth per Ordinary Share (%)  -13%                                               +54%                                               --
 Price per Ordinary Share           US$1.78                                            US$1.88(ii)                                        US$1.04
 Share price growth (%) (i)         -5%                                                37%
 Nasdaq Biotech (iii)               1%                                                 27%
 Russell 2000 Biotech (iii)         -27%                                               53%

(i)             Total shareholder return is an alternative
performance measure.

(ii)            As the Company's December NAV was not published
until mid-January and the portfolio enjoyed an exceptionally strong month of
performance in December the Company's share price is shown as being at a
discount to the December 31 NAV even though its shares traded at a premium to
the published November NAV during December.

(iii)           Source: Bloomberg.

 

Portfolio Highlights - deployment progress continues:

·      As of 31 December 2021, the Company held 42 core portfolio
companies (2020: 22)

o  17 of which are publicly-listed (2020: 9)

o  25 of which are privately-held (2020: 13)

·      Of these, 21 new core portfolio companies were added during the
period

·      44/55 or 80% of core/total portfolio companies' pipeline products
are in clinical stage programmes (2020: 25/33)

·      As of 31 December 2021, two-thirds of NAV was invested in core
portfolio companies and one-third of NAV was invested in non-core portfolio
holdings.

·      During the year to 31 December 2021, 9 portfolio companies
(Ventyx, Pyxis, Tenaya, Monta Rosa, Biomea Fusion, Prometheus, Landos,
Immunocore and GH Research) launched an initial public offering (IPO)

o  Average 1.9x step-up from the initial time of investment to IPO (2020:
1.8x)

·      During the period, RTW successfully migrated to the Official List
of the FCA and to trading on the Premium Segment of the London Stock Exchange

 

Roderick Wong, MD, Managing Partner and Chief Investment Officer of RTW
Investments, LP (the "Investment Manager") commented:

 

"I am pleased to report a resolute performance for RTW Venture Fund for 2021,
during a time of heightened turbulence across all markets, especially for the
biotech sector. The Company made considerable progress and outperformed the
Russell 2000 Biotech Index by a noticeable margin, proving our strong track
record of identifying transformative assets with high growth potential.

 

During 2021, the Company achieved a number of significant milestones,
including almost doubling the number of portfolio companies to 42 with 22
added during the course of the year. No less than 9 portfolio companies
completed IPOs, leading to an average 1.9x increase in valuations across those
companies. Additionally, RTW successfully migrated to the Official List of the
FCA and to trading on the Premium Segment of the London Stock Exchange, which
we hope will further enhance the Company's liquidity, profile and pave the way
for potential future index inclusions.

 

We believe that there remains significant demand for reliable capital to
support the discovery and development of scientific innovation globally, and
that the biotech sector remains extremely attractive following a historically
significant de-rating of the small cap biotech sector. The sell off has been
so extreme that it has now resulted in the highest number of biotech companies
trading at less than 2x cash in history, opening up an exciting range of
opportunities for us to identify high quality companies through our science
led approach.

 

We look ahead to 2022 with optimism and look forward to providing shareholders
with regular updates as we progress."

 

For Further Information

 RTW Investments, LP                                         +1 (646) 343 9280
 Stephanie Sirota, Chief Business Officer

Alexandra Taracanova, PhD, Director of Investor Relations

Julia Enright, Senior Business Development Associate

 Elysium Fund Management Limited                             +44 (0)14 8181 0100
 Joanna Duquemin Nicolle, Chief Executive Officer

 Sadie Morrison, Managing Director

 J.P. Morgan Cazenove                                        +44 (0)20 7742 4000
 William Simmonds

 Jérémie Birnbaum

 James Bouverat (Sales)

 BofA Securities                                             +44 (0) 20 7628 1000
 Edward Peel

 Kieran Millar

 Buchanan                                                    +44 (0)20 7466 5000
 Charles Ryland

 Henry Wilson

 George Beale

 

About RTW Venture Fund Limited:

RTW Venture Fund Limited (LSE: RTW & RTWG) is an investment fund focused
on identifying transformative assets with high growth potential across the
life sciences sector. Driven by a long-term approach to support innovative
businesses, RTW Venture Fund invests in companies developing next-generation
therapies and technologies that can significantly improve patients' lives.

RTW Venture Fund Limited is managed by RTW Investments, LP, a leading
healthcare-focused entrepreneurial investment firm with deep scientific
expertise and a strong track record of supporting companies developing
life-changing therapies.

Visit the RTW website at
www.rtwfunds.com (https://protect.mimecast-offshore.com/s/eY8OCgLEp4SlY4JEFN_vEF)
 for more information.
 
 
Chairman's Statement

 

I present the 2021 annual results for RTW Venture Fund Limited (the "Company")
and am pleased to report that significant milestones were achieved during the
last year.

 

2021 Overview

 

Building upon the considerable achievements and extraordinary growth in 2020,
the Company and RTW continued executing their strategy in 2021. In spite of
the COVID-19 pandemic and market volatility in the biotech sector, the
Investment Manager remained focussed on the science-led fundamentals and
valuation of the underlying companies and demonstrated an accelerated pace of
capital deployment by investing in 21 new portfolio companies, compared with
15 in the previous financial year. This enabled the Company to continue to
build its portfolio of innovative biotechnology and medical technology
companies and providing solution-driven financing strategies at various points
in the individual life cycles of these companies.

 

Despite market volatility in the biotech sector, the Company share price,
which fell by 5.3% over the year, significantly outperformed its benchmark,
the small-cap heavy Russell 2000 Biotech Index, which fell by 26.9% over the
same period while slightly lower than the large-cap heavy Nasdaq Biotech Index
which returned +0.6% for the reporting period. From 31 December 2020 to 31
December 2021, the NAV declined by 12.8% from US$375.3 million or US$1.96 per
Ordinary Share to US$363.0 million or US$1.71 per Ordinary Share. The largest
detractor to the NAV was the share price performance of Rocket, which fell
heavily in line with the gene therapy sector as a whole as investors priced in
delays to clinical trials. This was partially offset by the better performance
of our private companies, particularly JIXING, and the IPOs of Landos,
Immunocore, Prometheus, GH Research, Monte Rosa, Tenaya, Ventyx and
acquisition of Inivata.

 

At the beginning of the year, the Company portfolio included 22 core portfolio
companies, of which 13 were privately held and nine were publicly listed. All
core portfolio companies were initiated as private investments by the
Investment Manager. During 2021, the Company added a further 21 portfolio
companies, one of which, Inivata, was later acquired by a third-party,
bringing the total number of core portfolio companies to 42, representing c.
two-thirds of NAV at the end of the year.

 

As in previous periods, to mitigate any drag on performance due to excess cash
awaiting deployment into new private assets, the Company currently has c.
one-third of NAV in a high-quality portfolio of listed companies or non-core
portfolio assets selected by the Investment Manager, to be representative of
positions that are also held in their other investment funds.

 

Share Issuance

 

During the reporting period our corporate broker, J.P. Morgan Cazenove,
reported significant demand from prospective shareholders, which was reflected
in the fact that the Company's share price has traded at an average premium to
NAV of c. 10% since its admission. Under our Articles and in accordance with
UK Listing rules, the Company has the authority to issue new shares of up to
20% of the outstanding share capital in any rolling twelve-month period
without filing an updated prospectus, provided the shares are issued on a
non-dilutive basis at a premium to NAV. In response to market demand in 2021,
the Company issued a further 20,873,403 shares, an 11% increase in the total
outstanding shares of the Company and raising an additional US$44.1 million
net of expenses. The share issuance was also modestly accretive to NAV,
contributing c. 1% to the NAV growth per Ordinary Share.

 

Migration to the Premium Listing of the Main Market of the LSE

 

As stated in the 2020 Annual Report, the Board intended to raise the profile
of the Company with a view to broadening its shareholder base by means of
exploring a migration to the Premium Listing of the Main Market of the London
Stock Exchange.

 

I am pleased to report that the Company successfully completed the migration
and was admitted to listing on the Official List of the FCA and to trading on
the Premium Segment of the London Stock Exchange plc's Main Market on 6 August
2021. The application for admission was approved by a shareholder vote at the
extraordinary general meeting held on 30 July 2021. The
Company also introduced an additional market quote for the shares on the
London Stock Exchange denominated in GBP under ticker "RTWG". There were
no changes to the legal form or nature of the Ordinary Shares nor to the
reporting currency of the Company's financial statements, which will remain
in US Dollars.

 

The Board believes that the Premium Segment of the Main Market is the most
appropriate platform for the continued growth of the Company by increasing
RTW Venture Fund's profile, broadening its shareholder register, adding a
Sterling denomination, and facilitating the Company's potential eligibility
for inclusion in the FTSE UK Index Series.

 

Outlook

 

Even with COVID-19 and war in Ukraine remaining pressing issues worldwide, the
Company is looking ahead with optimism and confidence. As a full life-cycle
investor, our Investment Manager also invests in public biotech and medtech
securities trading at attractive levels. We can take advantage of valuation
disparities between small and mid-cap and large-cap companies in the sector
and the overall biotech sector correction in 2022. The Investment Manager
believes that there remains significant demand for reliable capital to support
the discovery and development of scientific innovation globally, and that
there is an opportunity to grow their footprint in the UK and EU as an active
local participant in the biotech ecosystem. The Investment Manager therefore
intends to grow the Company's portfolio by attracting demand from new
shareholders to assist in the financing of an exciting pipeline of new ideas.
These are based upon the Company's strategy of founding, investing, and
supporting companies developing next-generation therapies and technologies
that can significantly improve patients' lives. Accordingly, the Board expects
the Company to deliver strong performance over the long term and creating
value for shareholders.

 

AGM

 

The Company will hold its Annual General Meeting (AGM) on 21 June 2022 to
review the annual results and provide portfolio updates. We would like to
dedicate a part of the meeting to address questions from our shareholders. At
the present time, we anticipate holding the AGM in a virtual format, although
COVID-permitting it may be held in person at Royal Chambers, St Julian's
Avenue, St Peter Port, Guernsey.  However, we encourage our shareholders to
share your questions here and we will endeavour to answer as many as we can:
RTWVentureFund@rtwfunds.com.

 

On behalf of the Board, I would like to express my gratitude for your
continued support and wish you and your families a healthy, safe, and
prosperous 2022. I look forward to updating you further at the time of our
interim results later in the year.

 

William Simpson

Chairman of the Board of Directors

RTW Venture Fund Limited

30 March 2022

 

 

Report of the Investment Manager

 

Executive summary

 

We present the year-end results of the Company as of 31 December 2021. Since
its listing on the London Stock Exchange in October 2019, the Company has
achieved NAV growth of 64.4% from US$168.0 million, or US$1.04 per Ordinary
Share, to US$363.0 million, or US$1.71 per Ordinary Share as of 31 December
2021. For the reporting period, the NAV attributable to Ordinary Shares
declined by 12.8% from US$375.3 million NAV or US$1.96 per Ordinary Share as
of 31 December 2020. This compares with a decline in the Company's Russell
2000 benchmark of 26.9%. From Admission to 31 December 2021, the share price
has returned 71.2%.

 

Table 1. Financial Highlights

 

 RTW Venture Fund Limited           Year-end reporting period (01/01/2021-31/12/2021)  Year-end reporting period (01/01/2020-31/12/2020)  Admission (30/10/2019)
 Ordinary NAV                       US$363.0 million                                   US$375.3 million                                   US$168.0 million
 NAV per Ordinary Share             US$1.71                                            US$1.96                                            US$1.04
 NAV Growth per Ordinary Share (%)  -13%                                               +54%                                               --
 Price per Ordinary Share           US$1.78                                            US$1.88(ii)                                        US$1.04
 Share price growth (%) (i)         -5%                                                37%
 Nasdaq Biotech (iii)               1%                                                 27%
 Russell 2000 Biotech (iii)         -27%                                               53%

(i)             Total shareholder return is an alternative
performance measure.

(ii)            As the Company's December NAV was not published
until mid-January and the portfolio enjoyed an exceptionally strong month of
performance in December the Company's share price is shown as being at a
discount to the December 31 NAV even though its shares traded at a premium to
the published November NAV during December.

(iii)           Source: Bloomberg.

 

RTW Investments, LP (the "Investment Manager", "us", "we"), a leading
healthcare-focused entrepreneurial investment firm with a strong track record
of supporting companies developing life-changing therapies, created the
Company as an investment fund focused on identifying transformative assets
with high growth potential across the biopharmaceutical and medical technology
sectors. Driven by our deep scientific understanding and a long-term approach
to building and supporting innovative businesses, we invest in companies
developing transformative next-generation therapies and technologies that can
significantly improve patients' lives.

 

As of 31 December 2021, c. two-thirds of NAV was invested in core portfolio
companies, a similar figure to 31 December 2020 despite an increase in share
capital and reflecting the Company's long term target portfolio allocation
range. Core portfolio companies typically begin as private investments,
reflecting the key focus of the Company's strategy. However, our investment
approach is defined as full life cycle and therefore involves retaining our
private investments well beyond their IPO, hence our core portfolio consists
of both privately-held and publicly-listed companies.

 

The Company also invested approximately a third of its NAV in publicly listed,
non-core portfolio assets in order to mitigate any 'cash drag' effect pending
eventual re-investment in core portfolio opportunities as they arise. The
non-core portfolio assets were selected by us and are also held in our other
funds. The investments represented in this portfolio are similarly categorized
as innovative biotechnology and medical technology companies developing and
commercializing potentially disruptive and transformational products.

 

Over the year, our listed core holdings produced the majority of our losses
and our private core holdings produced the majority of our gains. In 2021, the
NAV per Ordinary Share declined by 12.8%. The main contributors to the NAV per
Ordinary Share decrease were Rocket, Frequency, Avidity, Athira, Pulmonx and
Tarsus, contributing c. 25% to the decline. These mark to market losses were
offset by the performance of our private companies, particularly JIXING and
IPOs of Landos, Immunocore, Prometheus, GH Research, Monte Rosa, Tenaya,
Ventyx and acquisition of Inivata, together contributing c. 12.3% to the NAV
growth. Share issuance at a premium to net asset value contributed c. 1.2% and
the balance of our performance is made up of operating expenses and a
performance allocation fee credit.

 

Figure 1. Performance drivers as of 31 December 2021

 

 chart 

 

On listing, the Company's core portfolio included six companies, four of which
were developing clinical-stage therapeutics and two med tech companies
developing transformative devices. Since listing, the Company has added 36
companies to its portfolio and has had one position acquired, with 15
additions in the 2020 financial year and 21 in 2021. Portfolio companies added
in the 2021 are listed below.

 

Our 2021 new investments include:

 Company name        Description
 H1 2021
 Visus               Clinical stage biotech developing a presbyopia-correcting eye drop.
 Ancora              Medtech company developing minimally invasive implant for heart failure.
 Artiva              Developer of allogenic cord blood-derived Natural Killer (NK) cell therapy.
 Ventyx              Clinical stage biotech advancing a promising immunology pipeline for
                     autoimmune and inflammatory diseases.
 Pyxis               Oncology biotech developing antibody-drug conjugates.
 Monte Rosa          Pre-clinical stage targeted protein degradation biotech.
 GH Research         Clinical stage biotech developing therapies to manage mental disease.
 RTW Royalty #2      Royalty as a part of RTW-Urogen deal relating to the development and
                     commercialization of urological cancer treatments.
 Numab Therapeutics  Swiss biotech developing next-gen multi-specific antibody-based
                     immunotherapies for cancer and inflammation.
 Yarrow              RTW-backed new company creation focused on CNS diseases.
 Alcyone             Gene therapy platform company developing therapies for CNS diseases.
 Umoja               Preclinical-stage lentiviral in vivo CAR-T oncology biotech.
 Neurogastrx         Clinical stage spec pharma focused on gastrointestinal disorders.
 H2 2021
 Magnolia Medical    Medtech company focused on innovative blood and fluids collection devices.
 Artios              Oncology biotech developing first-in-class therapies based on DNA Damage
                     Response.
 InBrace             Medical technology company pioneering a behind-the-teeth teeth straightening
                     approach.
 Lycia               Biotech developing extracellular protein degradation-based pipeline of
                     therapies.
 CinCor              Biopharma developing next-gen treatments for cardio-renal diseases.
 Acelyrin            Biotech advancing an antibody mimetic for inflammatory conditions.
 Kyverna             Biotech developing cell therapy for autoimmune diseases.
 Third Harmonic Bio  Biotech advancing a small molecule for autoimmune mast cell disorders.

 

As of 31 December 2021, the portfolio included 42 companies that were
diversified across treatment modalities, therapeutic focus, and clinical stage
of their programs (Figure 2A-C). While the portfolio remains dominated by
US-based companies (Figure 2D), we are committed to adding UK and EU-based
companies in an effort to support the best assets globally and foster local
biotech ecosystems where we see attractive opportunities.

 

Figure 2. Portfolio breakdown, by (A) modality, (B) therapeutic focus, (C)
clinical stage and (D) geography as of 31 December 2021

 

(A)  chart              (B)  chart 

 

(C)  chart              (D)  chart 

 

 

Key updates for Portfolio Companies during 2021:

 

Clinical

·      In April 2021, iTeos shared a positive preliminary Phase 1 data
update for its TIGIT antibody EOS-448 program in adult patients with advanced
solid tumors, indicating EOS-448 was generally well tolerated with no
dose-limiting toxicities observed and showed preliminary signs of clinical
activity as a monotherapy, including a partial response in a melanoma patient,
and stable disease in multiple patients.

·      In May 2021, Rocket shared positive data updates to its
lentiviral vector (LVV)-based gene therapy programs for the treatment of
Fanconi Anaemia (FA) and (2) Leukocyte Adhesion Deficiency-I (LAD-I), and (3)
Pyruvate Kinase Deficiency (PKD). Rocket also announced that the FDA had put a
clinical hold on its adeno-associated virus (AAV)-based gene therapy for Danon
disease, a devastating, paediatric heart failure condition. The hold was not
triggered by safety concerns and patient enrollment resumed in Q3 2021.

·      In June 2021, Tarsus announced positive results of Saturn-1
pivotal trial evaluating TP-03 for the treatment of demodex blepharitis. The
Saturn-1 Phase 2b/3 trial met all primary and secondary endpoints, and
demonstrated significant, clinically meaningful outcomes with no serious
treatment-related adverse events and no treatment-related discontinuations.

·      In August 2021, Immunocore announced acceptance of its Biologic
License Application for tebentafusp in metastatic uveal melanoma with the FDA
and EMA, with the PDUFA action date set for February 23, 2022. Immunocore
received FDA approval for Kimmtrak (tebentafusp) in January 2022 ahead of the
expected PDUFA date.

·      In October 2021, Avidity announced that the FDA had granted Fast
Track Designation to its lead program, AOC 1001, for the treatment of myotonic
dystrophy type 1 (DM1). Fast Track Designation enables more frequent
interactions with the FDA to expedite the development and review process for
drugs intended to treat serious or life-threatening conditions and that
demonstrate the potential to address unmet medical needs.

·      In November 2021, Rocket provided a positive incremental data
update on its adeno-associated virus (AAV)-based gene therapy for Danon
disease Overall, it showed stabilization or improvement in functional and
biomarker metrics.

 

Financing

·      In 2021, nine portfolio companies (Landos, Immunocore,
Prometheus, Biomea Fusion, Monte Rosa, GH Research, Tenaya, Ventyx and Pyxis
Oncology) launched an initial public offering (IPO) with an average 1.9x
valuation step-up from the initial time of investment to IPO, followed by an
additional average +15% performance on the first day of trading.

·      In May 2021, JIXING announced an exclusive licencing agreement
with Milestone to develop and commercialize etripamil, a novel calcium channel
blocker designed to be a rapid-response therapy for episodic cardiovascular
conditions, in China. Following this announcement, the Company participated
alongside our other investment vehicles in a Series B financing round.

·      In May 2021, NiKang Therapeutics completed a US$200 million
Series C financing round. The Company alongside other vehicles managed by the
Investment Manager participated in the financing round.

·      We seeded our latest new company creation Yarrow Biotechnology, a
biotech developing antisense oligonucleotide-based therapeutics for disorders
with high unmet need. In May 2021, Yarrow announced a licensing agreement with
ProQR for its antisense oligonucleotide technology (ASO) to develop and
commercialize potential therapies for an undisclosed CNS target.

·      In June 2021, iTeos and GSK announced a deal on development and
commercialization of iTeos' EOS-448 TIGIT targeting antibody, under which
iTeos is to receive a US$625M upfront payment in addition to potential
milestones, and royalty payments on ex-US sales up to US$1.45B in development
and commercial milestones.

·      In June 2021, Inivata announced that NeoGenomics, Inc (NASDAQ:
"NEO") had completed its acquisition of the company, the intention of which
had previously been announced on 5 May 2021. NeoGenomics exercised its option
to acquire the remaining Inivata equity interest for US$390 million after it
had previously made a US$25 million minority equity investment.

·      In August 2021, JIXING announced an exclusive license and
collaboration agreement with Oyster Pharma to develop and commercialize OC-01
(varenicline) and OC-02 (simpinicline) nasal sprays for the treatment of signs
and symptoms of dry eye disease for patients in Greater China. Following this
announcement, the Company participated alongside our other investment vehicles
in a Series C financing round.

·      In December 2021, JIXING announced an expansion of its
collaboration with Cytokinetics by entering into an exclusive license and
collaboration agreement to develop and commercialize omecamtiv mecarbil for
the proposed treatment of heart failure with reduced ejection fraction (HFrEF)
in Greater China.

 

 

Portfolio performance and updates

 

The Company's share price has traded at an average premium of c. 10% since
inception (Figure 3A). The Company's overall returns since inception have
outperformed its biotech benchmarks, generating an overall return of c. 71% vs
c. 35% by the small and mid-cap heavy Russell 2000 Biotechnology Index and vs
c. 40% by the large-cap heavy Nasdaq Biotechnology Index (Figure 3B note: the
reporting period for this chart is 30 October 2019 to 31 December 2021). In
2021, the Company's share price declined by c. 5%, whilst the Nasdaq
Biotechnology Index returned c. 1% and the Russell 2000 Biotechnology index
returned c. -27% for the same period, respectively. Source Bloomberg.

 

Figure 3. RTW.L share price performance (A) and returns (B) as of 31 December
2021

 

(A)  chart 

(B)   chart 

 

Rocket's share price declined by 60%, which made it the main detractor from
the NAV per Ordinary Share this year (c. -22%).  The FDA put Rocket's Danon
program on clinical hold in early May 2021 in order to ensure adequate
safeguards for patients in its clinical study.  The trial was allowed to
resume in August 2021 (for context, this was a fast resolution).  The company
also shared an update from the first five patients dosed in November 2021.
While the data suggest four patients have been stable over their one to two
years on study, investors expressed concern that a lack of improvement in
certain measurements may make phase 3 trial design more challenging.  Despite
these points, Rocket remains among the top 3 largest independent gene therapy
companies by market capitalisation.

 

In context to this, it is worth noting that it was a challenging year for gene
therapy as a subsector. Of 30 publicly traded gene therapy companies, the
median decline has been 54%, with only three companies up on the year, no drug
approvals (the total remains at two), and no public acquisitions.  Recent
setbacks have spanned safety, efficacy, and CMC (chemistry, manufacturing and
controls):

 

Figure 4. Gene therapy setbacks

 

 chart 

 

We believe the companies best positioned to overcome these near-term
challenges will be those who have chosen to focus on therapies for severe
diseases with limited options and that also have meaningful commercial
potential.  Rocket's talented team and programs have been committed to this
mission from the start, and we remain optimistic for both our existing
programs and new opportunities.

 

As of 31 December 2021, nine portfolio companies, which included Landos,
Immunocore, Prometheus Biosciences, Biomea Fusion, Monte Rosa, GH Research,
Tenaya, Ventyx and Pyxis Oncology had gone public via an IPO with an average
1.9x step-up from the initial time of investment to IPO and an average private
holding period of 0.7 years, followed by an additional average c. 15%
performance on the first day of trading.

 

Table 2. Core portfolio companies IPOs in 2021

 Company                 Initial funding type  Ticker  IPO date       Performance on 1(st) day of trading
 Landos                  Series B              LABP    February 2021  -25%
 Immunocore              Series B*             IMCR    February 2021  +66%
 Prometheus Biosciences  Series D              RXDX    March 2021     +33%
 Biomea Fusion           Series A              BMEA    April 2021     +9%
 Monte Rosa              Series C              GLUE    June 2021      +12%
 GH Research             Series B              GHRS    June 2021      +20%
 Tenaya                  Series C              TNYA    July 2021      +2%
 Ventyx                  Series B              VTYX    October 2021   +31%
 Pyxis Oncology          Series A              PYXS    October 2021   -17%

*Immunocore originated as a Series A investment with the Investment Manager

 

Table 3. Performance of core private and public portfolio investments as of 31
December 2021

 Portfolio company   Initial Investment Date                                Valuation Date                                     MOC   XIRR    Private Holding Period (years)
 Beta Bionics        6/28/2019                                              12/31/2021                                         1.0x  -1.0%                              2.5
 Orchestra           6/28/2019                                              12/31/2021                                         0.9x  -3.3%                                 2.5
 Frequency^          7/17/2019                                              03/23/2021                                         2.8x  85.3%                                 1.7
 Landos*             8/9/2019                                               12/31/2021                                         1.2x  6.7%                                  2.4
 Immunocore*         8/13/2019                                              12/31/2021                                         1.7x  28.5%                                 2.4
 Avidity*            11/8/2019                                              12/31/2021                                         2.6x  56.9%                                 2.1
 JIXING              2/10/2020                                              12/31/2021                                         1.7x  85.3%                                 1.9
 Iteos*              3/24/2020                                              12/31/2021                                         4.2x  136.6%                                1.8
 Pulmonx*            4/17/2020                                              12/31/2021                                         2.5x  70.6%                                 1.7
 Athira*             5/29/2020                                              12/31/2021                                         2.3x  101.2%                                1.6
 C4 Therapeutics*    6/2/2020                                               12/31/2021                                         3.6x  126.3%                                1.6
 Encoded             6/12/2020                                              12/31/2021                                         2.1x  62.1%                                 1.6
 Milestone^^         7/23/2020                                              12/31/2021                                         1.6x  43.5%                                 1.4
 Nikang              9/9/2020                                               12/31/2021                                         1.1x  8.2%                                  1.3
 Tarsus*             9/24/2020                                              12/31/2021                                         1.6x  45.4%                                 1.3
 Prometheus*         10/30/2020                                             12/31/2021                                         5.0x  382.1%                                1.2
 RTW Royalty #1      11/13/2020                                             12/31/2021                                         1.2x  18.9%                                 1.1
 Nuance              12/7/2020                                              12/31/2021                                         1.0x  0.0%                                  1.1
 Tenaya*             12/17/2020                                             12/31/2021                                         1.5x  50.1%                                 1.0
 Biomea*             12/23/2020                                             12/31/2021                                         0.9x  -6.5%                                 1.0
 Inivata**           12/24/2020                                             6/18/2021                                          2.6x  635.5%                                0.5
 Prometheus Labs     12/31/2020                                             12/31/2021                                         1.0x  0.0%                                  1.0
 Ancora              1/20/2021                                              12/31/2021                                         1.0x  2.0%                                  0.9
 Visus               1/26/2021                                              12/31/2021                                         1.1x  14.7%                                 0.9
 Artiva              2/23/2021                                              12/31/2021                                         1.3x  30.7%                                 0.9
 Ventyx*             2/26/2021                                              12/31/2021                                         2.0x  206.9%                                0.8
 Pyxis*              3/8/2021                                               12/31/2021                                         1.0x  5.9%                                  0.8
 Monte Rosa*         3/12/2021                                              12/31/2021                                         2.0x  129.4%                                0.8
 GH Research*        4/9/2021                                               12/31/2021                                         1.9x  139.8%                                0.7
 RTW Royalty #2      5/5/2021                                               12/31/2021                                         1.1x  21.1%                                 0.7
 Numab               5/7/2021                                               12/31/2021                                         1.0x  -1.0%                                 0.7
 Yarrow              5/14/2021                                              12/31/2021                                         1.0x  0.0%                                  0.6
 Alcyone             6/8/2021                                               12/31/2021                                         1.0x  0.0%                                  0.6
 Umoja               6/9/2021                                               12/31/2021                                         1.0x  8.2%                                  0.6
 Neurogastrx         6/25/2021                                              12/31/2021                                         1.0x  0.0%                                  0.5
 Magnolia            7/2/2021                                               12/31/2021                                         1.0x  0.0%                                  0.5
 Artios              7/27/2021                                              12/31/2021                                         1.0x  0.0%                                  0.4
 InBrace             8/27/2021                                              12/31/2021                                         1.0x  0.0%                                  0.3
 Lycia               9/2/2021                                               12/31/2021                                         1.0x  0.0%                                  0.3
 Cincor*             9/22/2021                                              12/31/2021                                         1.2x  95.0%                                 0.3
 Acelyrin            10/20/2021                                             12/31/2021                                         1.0x  0.0%                                  0.2
 Kyverna             11/9/2021                                              12/31/2021                                         1.0x  0.0%                                  0.1
 Third Harmonic Bio  12/17/2021                                             12/31/2021                                         1.0x  0.0%                                  0.0
 Average                                                                                                                       1.6x  60%     1.1

 Public company                    Price per share as of 29/10/2019 market close (as of listing of the Company)      % Return
 Rocket                            US$14.00                                                                          56%

 

*These positions originated in the portfolio as private companies and since
have gone public; as of 31 December 2021, Monte Rosa, GH Research, Tenaya,
Pyxis and Ventyx were under 180-day lock-up provision; **Acquired; ^Exited the
position; ^^Milestone is a public company, the Company holds private warrants.

 

Table 4. NAV capital breakdown

 Type                                        % of NAV as of 31 December 2021  % of NAV as of 31 December 2020
 Core portfolio assets (private and public)  66.4%                            68.7%
 Non-core portfolio assets                   38.6%                            25.4%
 Cash, due to/from brokers, other*           -5.0%                            5.9%
 Total                                       100.0%                           100.0%

*Other includes liabilities such as other payables and accrued expenses.

 

As of 31 December 2021, our top five holdings of non-core portfolio assets
represented c. 7% of NAV and consisted of: Alnylam (ticker: "ALNY"), a leading
RNA medicine company, Natera (ticker: "NTRA"), a clinical genetic testing
company,  Masimo (ticker: "MASI"), a medtech company developing innovative
non-invasive patient monitoring technologies, Thermo Fisher Scientific (ticker
"TMO"), a leading scientific service provider, and Cytokinetics (ticker:
"CYTK"), a clinical-stage biotechnology company developing innovative
treatments for cardiovascular conditions. We expect to deploy the capital
invested into non-core portfolio assets into private companies as new
opportunities arise.

 

Table 5. Overview of portfolio companies' valuations(*) as of 31 December 2021

 Portfolio Company   Public/ Private  Company's % interest in Portfolio Company's capital as of 31 December 2021  Valuation of Company's investment as of 31 December 2021  % of Company's net assets as of 31 December 2021  YTD P&L as of      Valuation hierarchy

31 December 2021
 Rocket              Public           <5%                                                                         US$51.6 million                                           13.3%                                             -US$88.8 million   Level 1
 JIXING              Private          <10%                                                                        US$25.6 million                                           6.6%                                              US$10.5 million    Level 3
 Prometheus Bio      Public           <5%                                                                         US$21.7 million                                           5.6%                                              US$16.5 million    Level 1
 Avidity             Public           <5%                                                                         US$16.6 million                                           4.3%                                              -US$0.7 million    Level 1
 RTW Royalty #2      Private          <20%                                                                        US$13.1 million                                           3.4%                                              US$1.3 million     Level 3
 Immunocore          Public           <1%                                                                         US$11.0 million                                           2.9%                                              US$5.1 million     Level 1
 RTW Royalty #1      Private          <10%                                                                        US$10.0 million                                           2.6%                                              US$1.8 million     Level 3
 C4 Therapeutics     Public           <1%                                                                         US$9.7 million                                            2.5%                                              US$0.1 million     Level 1
 Tenaya              Public**         <5%                                                                         US$8.2 million                                            2.1%                                              US$2.5 million     ^ Level 2
 GH Research         Public           <1%                                                                         US$7.2 million                                            1.8%                                              US$3.1 million     Level 1
 iTeos               Public           <1%                                                                         US$6.9 million                                            1.8%                                              US$1.3 million     Level 1
 Landos              Public           <5%                                                                         US$6.1 million                                            1.6%                                              US$0.9 million     Level 1
 Tarsus              Public           <1%                                                                         US$5.2 million                                            1.3%                                              -US$4.4 million    Level 1
 Beta Bionics        Private          <5%                                                                         US$4.9 million                                            1.3%                                              -US$0.5 million    Level 3
 NiKang              Private          <5%                                                                         US$4.6 million                                            1.2%                                              US$0.4 million     Level 3
 Ventyx              Public**         <1%                                                                         US$4.6 million                                            1.2%                                              US$1.9 million     ^ Level 2
 Encoded             Private          <1%                                                                         US$4.2 million                                            1.1%                                              US$2.2 million     Level 3
 Milestone           Public           <5%                                                                         US$4.0 million                                            1.0%                                              US$0.0 million     Level 1
 Monte Rosa          Public           <1%                                                                         US$3.8 million                                            1.0%                                              US$1.4 million     Level 1
 Alcyone             Private          <5%                                                                         US$3.7 million                                            0.9%                                              US$0.0 million     Level 3
 Pyxis               Public**         <1%                                                                         US$3.5 million                                            0.9%                                              -US$0.4 million    ^ Level 2
 Umoja               Private          <1%                                                                         US$3.4 million                                            0.9%                                              US$0.1 million     Level 3
 Ancora              Private          <1%                                                                         US$2.9 million                                            0.8%                                              US$0.0 million     Level 3
 Visus               Private          <5%                                                                         US$2.4 million                                            0.6%                                              US$0.3 million     Level 3
 Orchestra           Private          <1%                                                                         US$2.3 million                                            0.6%                                              -US$0.1 million    Level 3
 Pulmonx             Public           <1%                                                                         US$1.9 million                                            0.5%                                              -US$2.1 million    Level 1
 Nuance              Private          <1%                                                                         US$1.8 million                                            0.5%                                              US$0.0 million     Level 3
 Athira              Public           <1%                                                                         US$1.7 million                                            0.4%                                              -US$4.9 million    Level 1
 Numab               Private          <1%                                                                         US$1.7 million                                            0.4%                                              US$0.0 million     Level 3
 Neurogastrx         Private          <1%                                                                         US$1.6 million                                            0.4%                                              US$0.0 million     Level 3
 Kyverna             Private          <1%                                                                         US$1.5 million                                            0.4%                                              US$0.0 million     Level 3
 Third Harmonic Bio  Private          <1%                                                                         US$1.4 million                                            0.4%                                              US$0.0 million     Level 3
 Cincor              Private          <1%                                                                         US$1.3 million                                            0.3%                                              US$0.2 million     Level 3
 Artiva              Private          <1%                                                                         US$1.2 million                                            0.3%                                              US$0.2 million     Level 3
 Lycia               Private          <1%                                                                         US$1.1 million                                            0.3%                                              US$0.0 million     Level 3
 InBrace             Private          <1%                                                                         US$0.9 million                                            0.2%                                              US$0.0 million     Level 3
 Biomea              Public           <1%                                                                         US$0.8 million                                            0.2%                                              -US$0.2 million    Level 1
 Artios              Private          <1%                                                                         US$0.8 million                                            0.2%                                              US$0.0 million     Level 3
 Acelyrin            Private          <1%                                                                         US$0.7 million                                            0.2%                                              US$0.0 million     Level 3
 Magnolia            Private          <5%                                                                         US$0.7 million                                            0.2%                                              US$0.0 million     Level 3
 Yarrow              Private          <5%                                                                         US$0.6 million                                            0.1%                                              US$0.0 million     Level 3
 Prometheus Labs     Private          <1%                                                                         US$0.1 million                                            0.0%                                              US$0.0 million     Level 3

 

(*) Valuations for Private Portfolio Companies on a fair market value basis as
of 31 December 2021. The valuations of Rocket, Avidity, iTeos, Athira, C4
Therapeutics, Milestone, Pulmonx, Tarsus, Landos, Immunocore, Prometheus
Biosciences, Biomea, Monte Rosa, GH Research, Tenaya, Pyxis and Ventyx have
been calculated using market capitalization based on their publicly quoted
market prices as of 31 December 2021. **In accordance with the Company's
valuation policy, the Company applies a discount to its investments in Private
Portfolio Companies which become Public Portfolio Companies that are subject
to customary post-IPO lock-up provisions. ^Also includes Level 1 securities
purchased at or after portfolio company IPO.

 

As of 31 December 2021, two members and one employee of the Investment Manager
served on the board of directors of Rocket and two members and three employees
served on the board of directors of Landos, JIXING, NiKang, Visus, Alcyone,
RTW Royalty #1 and #2, and Yarrow, which in aggregate represented 30.3% of NAV
of the Company.

 

 

Migration to the Main Market of the London Stock Exchange

 

We are pleased to report that RTW Venture Fund was admitted to the Premium
Segment of the Main Market on 6 August 2021 and introduced an additional
market quote denominated in GBP under ticker "RTWG". To satisfy the
diversification requirements that we agreed with the UK Listing Authority, we
reduced our position in Rocket and brought it under 25% of NAV, while adding
to the position in our private fund, making RTW overall a net-buyer of the
security. To note, the sale of Rocket shares by the Company to reduce the
position from c. 33% to c.25% did not result in any crystalized losses, as at
the time of the Company's IPO Rocket's share price was $14 and at the time of
sale on 11 May 2021 was $40, representing c.186% uplift.

 

We believe the Premium Segment of the Main Market is the most appropriate
platform for the continued growth of the Company. We look forward to
continuing to advance our presence in the UK and are honoured to bring access
to private markets and bespoke negotiated opportunities to an even broader
investor base now being listed on the Premium Segment. We also believe that by
maintaining a strong presence and providing much needed capital to late-stage
venture companies, we are doing our part in fostering a stable and well
capitalized investment ecosystem, which we believe will in turn benefit UK
companies and support further innovation.

 

 

Summary of Portfolio Companies with at least 1.0% position of NAV as of 31
December 2021:

 

As of 31 December 2021, the Company's portfolio included 42 companies, ranging
from biotechnology companies developing preclinical to clinical-stage
therapeutic programs, companies developing traditional small molecule
pharmaceuticals, and med-tech companies developing or commercializing
transformative devices. We selected the Company's portfolio companies based
upon our rigorous assessment of scientific and commercial potential,
opportunities to positively impact value, and with regard to the valuation of
the assets at the time of investment. The table below includes portfolio
companies and their catalysts that had ≥1.0% position size at the end of the
reporting period.

 

Table 6. RTW Venture Fund portfolio summary of catalysts (core portfolio
holdings >1.0% of NAV) as of 31 December 2021

 Portfolio Company       Description                                                                   Public/ Private   Clinical stage    Expected upcoming catalyst  % NAV
 Rocket                  Gene therapy platform company for rare pediatric diseases; five clinical      Public: "RCKT"    Phase 2           Q2 2022                     13.3%
                         programs for Fanconi anemia, Danon, LAD, PKD and IMO.
 JIXING                  NewCo focused on acquiring rights from innovative therapies                   Private           Phase 3           Series D; H1 2022           6.6%

in the West for development and commercialization in China.
 Prometheus Biosciences  Precision medicine company focused on IBD, a chronic inflammatory disease of  Public: "RXDX"    Phase 1           H1 2022                     5.6%
                         GI tract; lead antibody program against TL1A.
 Avidity                 Antibody conjugated RNA medicines company; lead program for myotonic          Public: "RNA"     Phase 1           H1 2022                     4.3%
                         dystrophy, a degenerative disease with no therapy.
 C4 Therapeutics         Targeted protein degradation company working on                               Public: "CCCC"    Phase 1           H1 2022                     2.5%

blood cancers.
 Iteos                   Novel immune checkpoint clinical stage company, with lead programs targeting  Public: "ITOS"    Phase 1 / 2       H1 2022                     1.8%
                         TIGIT and A2A in Phase ½ for advanced solid tumors.
 Landos                  Developer of oral therapies for autoimmune disease; lead program for          Public: "LABP"    Phase 2 / 3       Q2 2022                     1.6%
                         inflammatory bowel disease.
 Tarsus                  Clinical stage biotech developing first-in-class therapeutics                 Public: "TARS"    Phase 3           H1 2022                     1.3%

                         for ophthalmic conditions.
 Milestone               Clinical stage biopharma developing interventions for tachycardias.           Public: "MIST"    Phase 3           Q4 2022                     1.0%
 RTW Royalty #2          Royalty as a part of RTW-Urogen deal.                                         Private           -                 -                           3.4%
 Immunocore              T-cell receptor therapy company focused on oncology                           Public: "IMCR"    Registrational    --                          2.9%

and infectious disease; lead program for uveal melanoma.
 RTW Royalty #1          Royalty as a part of RTW-Ji Xing-Cytokinetics deal.                           Private           -                 -                           2.6%
 Tenaya                  Biotech developing therapies that can address the underlying cause of heart   Public: "TNYA"    Preclinical       -                           2.1%
                         disease; lead asset gene therapy for HCM.
 GH Research             Clinical stage biotech developing therapies to manage mental disease.         Public: "GHRS"    Phase 2           --                          1.8%
 Beta Bionics            Closed-loop pancreatic system for automated                                   Private           Pivotal           -                           1.3%

                         and autonomous delivery of insulin.
 NiKang                  Biotech using a structure-based design to develop innovative small molecules  Private           Preclinical       -                           1.2%
                         against promising molecular targets in oncology.
 Ventyx                  Clinical stage biotech advancing a promising immunology pipeline for          Public: "VTYX"    Phase 2           -                           1.2%
                         autoimmune and inflammatory diseases.
 Encoded                 Gene therapy company developing treatments for rare pediatric CNS disorders.  Private           Preclinical       -                           1.1%
 Monte Rosa              Targeted protein degradation biotech.                                         Public: "GLUE"    Preclinical       -                           1.0%
 Aggregate of <1.1% core portfolio companies include: Alcyone, Pyxis,                                                                                                  9.8%
 Athira, Pulmonx, Biomea, Orchestra, Visus, Nuance, Numab, Ancora, Artiva,
 Yarrow, Prometheus Labs, Neurogastrx, Umoja, Artios, Magnolia, InBrace, Lycia,
 Cincor, Acelyrin, Kyverna and Third Harmonic Bio.

 

Sector review and outlook

 

Significant biotech sector underperformance, attractive valuations, high
innovation… By some measures of market performance, 2021 was small-cap
biotech's worst calendar year since the financial crisis over a decade ago.
The small-cap heavy Russell 2000 Biotech Index finished down -27%, just ahead
of 2008's -31%. Only 2002's drop of -54% was significantly worse.  This
performance is most striking compared to the broader markets.  The S&P500
finished +27%, making small-cap biotech's 54% underperformance the largest in
history (second largest was 1998's 42%) (Figure 5).

Figure 5. Russell 2000 Biotech Annual Performance

 

 chart 

Overall valuations for the Nasdaq Biotechnology Index (NBI) and SPDR S&P
Biotech (XBI) have now returned to the historical average (Figure 6).  This
continues to be coupled with historically low interest rates and historically
high innovation.

 

Figure 6. Historic sector valuations

 

 chart 

Despite market performance, 2021 was a strong year for innovation. The FDA
managed through COVID resource constraints to approve 60 new drugs, topping
last year's 59. Approvals by modality include: RNA for three, novel antibody
technologies for three, and cell therapies for two.  mRNA firmly established
itself as the preferred modality for Covid vaccines, and Intellia demonstrated
human proof-of-concept for in vivo CRISPR, unlocking another new modality in
the battle against disease.

 

 

2022 Outlook. Most of the headwinds that we faced over the course of 2021 have
either resolved or are far along in the process.  In fact, we are hopeful
that 2022 will transition to tailwinds, such as a return to business as usual
at the FDA, multi-year clarity on drug pricing (should some form of the Build
Back Better bill pass), and a resurgence in M&A.  Regarding M&A,
2021's total deal volume of $109B is down from $169B in 2020 and is the second
lowest in the last eight years.  We speculate that the mix of more attractive
valuations, growing pressure from the coming wave of patent expirations and an
explosion of Covid related cash will be a potent recipe for deal making in
2022.

 

Figure 7. Biopharma M&A and Deal Capacity

 

 chart 

 

Figure 8. US Biotech IPOs

 

  chart 

 

IPO performance struggled this year under the weight of an all-time high 108
offerings.  The average declined ~31% from offer date to YE 2021, after
several years of easy gains for crossover investors.  Activity had already
begun to slow, with 60% of the year's IPOs taking place in the first half, and
the number of deals in Q4 starting to approach the run-rate that existed
before the mid-2020 boom.  The number of small and relatively illiquid public
companies that have had poor aftermarket performance has resulted in the
highest number of companies trading at <2x cash in history, creating an
exciting backdrop of opportunities for us. We are hopeful this will lead to
the kind of environment that favors those with strong fundamental analytical
capabilities, and who also have the capital and courage to deploy after
painful losses.  These are two of our greatest strengths historically that
have enabled us to distinguish ourselves in recoveries, and we are excited to
put them to use.

 

Figure 9. US Biotech Companies under $10 Billion Market Cap

 

 chart 

 

We think the primary market risks that bear watching sit largely outside of
healthcare and revolve around equities and the dynamic between inflation and
interest rates, and overall market volatility due to war in Ukraine.
Regardless of what happens to equities generally, we are quite optimistic the
historically large performance gap between biotech and the broader markets
will narrow.

 

Executing on our strategy. We are scientists and entrepreneurs who aspire to
change the lives of patients through innovation, and purposeful investing is
at the heart of everything we do. We power breakthrough therapies that
transform the lives of millions. Maximizing value realization from
transformative products takes time, and we believe it is critical to be
involved and invested in such companies throughout various stages of their
development and ultimately distribution to patients. In the instances where
our research leads us to find that a company doesn't exist, we have the
capability, human power, and funding to create a company de novo to advance an
asset we believe is worth building a business architecture around.

 

As a full life-cycle investor, we recognize the importance of providing growth
capital along with the support of an experienced team, if and when it is
needed, at any critical inflection point in an asset's life cycle. Scientific
development rarely follows a linear path and nor do we, which is why we are
always thinking about the optimal way to support a company. This can be
achieved through providing growth capital, creative financing solutions,
capital markets expertise, or guidance through investing our time and sharing
our collective experience as directors and stewards of tomorrow's most
exciting and disruptive companies.

 

Taking a long-term full lifecycle approach and having a true evergreen
structure enables us to avoid pitfalls of structural constraints of
venture-only or public-only vehicles. Our focus is on becoming the best
investors and company builders we can be, delivering exceptional results to
shareholders and making an impact on patients' lives.

 

As we look ahead to 2022 and beyond, based on the breadth of opportunities we
have been seeing and continue to see, we expect our efforts will translate
into further capital commitments. The last 24 months have been very active, as
we have added fifteen new companies in 2020 and twenty-one in 2021 to the
Company's growing portfolio, and we foresee continuing with a similar
investing pace in 2022. In 2021 and continuing in 2022, we are particularly
focused on attractive opportunities within small and mic-cap public biotech
companies given asymmetric risk / reward profiles of strong fundamentals and
decreased valuations.

 

Primary areas of focus remain in genetic medicines, small molecule, antibody
and next generation antibody therapies, targeted protein degradation, rare
diseases, targeted oncology, and medical technologies. We are excited by
advancements we are witnessing in neurology, ophthalmology, immunology,
muscular dystrophies, and cardiovascular and pulmonary diseases.

 

We have always emphasized the important point that exciting innovation is
taking place globally. Building upon our strong reputation in the U.S., we aim
to strengthen our presence with new offices in London and Shanghai to further
expand our presence and grow roots in these two strategic geographies. We are
as keen on exploring scientific programs coming out of the UK and Europe as we
are for those discovered and developed in the U.S. labs. We intend to continue
to build inroads and have been actively cultivating deeper relationships in
the UK.

 

We believe there is a significant demand for reliable capital providers, such
as ourselves, to continue to support scientific innovation and development of
transformative therapies for patients. With that in mind, we intend to grow
the Company's portfolio, by attracting new shareholders to assist in the
financing of an exciting pipeline of new ideas. We expect the split to remain
close to 80% biopharmaceutical assets and 20% across medical technology
assets. In line with prior guidance, we anticipate two-thirds of the core
portfolio investments will be made in mid to later stage venture companies and
one-third of the investments focused on active company building around the
discovery and development or licensing and distribution of promising assets.

 

Key Portfolio Company Events Post Period End

 

On 6 January 2022, CinCor announced pricing of its US$193.6 million IPO, by
offering 12.1 million shares at US$16.00 per share. The shares began trading
on Nasdaq Global Market on 7 January 2022 under ticker "CINC". Since IPO
CinCor shares have traded down 4.4% as of 23 March 2022.

 

The Company's investments in CinCor remains under 180-day lock-up provision.

 

In January 2022, the biotech sector has experienced a further selloff driven
by investor fears over inflation and interest rates. The selloff resulted in a
NAV per Ordinary Share decrease of 14% as of 31 January 2022. In February
2022, Russia invaded Ukraine, which resulted in further turmoil and
uncertainty in the global markets. The Company's NAV per Ordinary Share
further declined by 2% as of 28 February 2022. The Company does not have any
portfolio companies in the affected regions.

 

RTW Investments, LP

30 March 2022

 

 

Our Long Term Strategy

 

Transforming the lives of millions

Our long-term strategy is anchored in identifying sources of transformational
innovations by engaging in a deep scientific research and rigorous idea
generation process, which is complemented with years of financial investment,
company building, transactional, and legal expertise.

 

Identify

Identify transformational innovations

We have developed expertise through our comprehensive study of industry and
academic efforts in targeted areas of significant innovation. Thanks to the
genome, there is more clarity around the causes of disease. Coupled with new
exciting modalities that can address genetic diseases in a targeted way, drug
innovation is accelerating.

 

Engage

Engage in deep research and unlocking value

We developed repeatable internal processes combining technology and manpower
to comprehensively cover critical drivers of innovation globally. We seek to
identify biopharmaceutical and medical technology assets, ascertained through
rigorous scientific analysis that have a high probability of becoming
commercially viable products and can dramatically change the course of
treatment and in some cases bring effective and/or full curative outcomes to
patients.

 

Build

Build new companies around promising academic licences

We have the capabilities to partner with universities and in-license academic
programs, by providing capital and infrastructure to entrepreneurs to advance
scientific programs. Particularly working in rare diseases, often areas with
little existing research and treatment options, means that forming a rare
disease-focused company is a way of shining a light on this space and creating
a roadmap to eventually developing a curative treatment.

 

Support

Support full lifecycle investment

A key part of our competitive advantage is the ability to determine at what
point in a company's life cycle we should support the target asset or
pipeline. As a full lifecycle investor, we can provide growth capital,
creative financing solutions, capital markets expertise, or guidance through
investing our time and sharing our collective experience as directors and
stewards of tomorrow's most exciting and innovative companies. Taking a
long-term full lifecycle approach and having a true evergreen structure
enables us to avoid pitfalls of structural constraints of venture-only or
public-only vehicles. Our focus is on becoming the best investors and company
builders we can be, delivering exceptional results to shareholders and making
a positive impact on patients' lives.

 

 

Our Strategy in Action

 

Identify transformational innovations

 

RTW focuses on identifying transformational innovations across the life
sciences space, specifically backing scientific programs that have the
potential to disrupt the prevailing standard of care in their respective
disease areas.

 

 

Avidity

 

4.3% of NAV

2020: 3.9%

 

Portfolio company ownership

<5%

2020: <5%

 

The need

It is estimated that about 40,000 Americans suffer from myotonic dystrophy, a
rare genetic muscular dystrophy with no approved treatments.

 

Mission

Avidity is developing antibody oligonucleotide conjugate (AOC™)
therapeutics, which combines the tissue selectivity of monoclonal antibodies
and the precision of oligonucleotide-based therapeutics to overcome barriers
to the delivery of oligonucleotides and target genetic drivers of disease.

 

Status

Avidity's lead program is in clinical trials for myotonic dystrophy (MD) and
has discovery efforts underway to address additional diseases of the muscle.

 

Next milestone

Avidity is expected to share its preliminary Phase 1 clinical trial data for
its lead program in myotonic dystrophy in H1 2022.

 

 

We believe the best way to create value is by solving unmet needs

 

As the global life sciences market experiences rapid growth, our strategic
focus on addressing unmet patient needs has led to multiple opportunities for
value creation.

 

Key achievements

Core portfolio companies

42

2020: 22

 

New companies added in 2021

21

2020: 15

 

Therapeutic areas addressed by core portfolio

10

2020: 9

 

Key statistics

Therapeutics

c.86%

2020: c.80%

 

Medtech

c.14%

2020: c.20%

 

Portfolio companies' pipeline products are

in clinical stage programs

44/55

2020: 25/33

 

Priorities for 2022

As we look ahead to 2022, based on the breadth of opportunities we have been
seeing and continue to see, we expect our efforts will translate into further
capital commitments. The past year has been very active, and we foresee
continuing with a similar investing pace in 2022.

 

Primary areas of focus remain in genetic medicines, small molecule, antibody
and next generation antibody therapies, rare diseases, targeted oncology, and
medical technologies. We are excited by advancements we are witnessing in
neurology, ophthalmology, immunology, muscular dystrophies, and cardiovascular
and pulmonary diseases.

 

Link KPIs

5 Diversified portfolio across multiple therapeutic areas, treatments
modalities and geographies

6 Active and robust pipeline

 

Link principal risks

3 The Investment Manager relies on key personnel

4 Portfolio Companies may be subject to litigation

6 Clinical Development & Regulatory Risks

8 COVID-19

 

Innovation Boom

We are living in an era where we are witnessing innovation accelerating at a
breakneck speed with unparalleled opportunities for value creation.

 

The growth of new drug modalities has been dramatically accelerating. Whilst
small molecules dominated drug development for over 30 years, antibodies and
proteins grew quite gradually for about 20 years.  Over the most recent
decade the number of modalities has doubled, and furthermore in the first two
years of this decade we added as many new modalities as in the previous ten
years.

 

 chart 

 

We are seeing validated technologies, such as those derived from DNA and RNA
science, that can effectively deliver therapeutic solutions across large
swaths of diseases, resulting in companies with highly efficient development
engines.

 

We believe there is an opportunity to offer attractive risk-adjusted returns
to shareholders by building companies that possess unique and heretofore
unrecognized growth opportunities that will benefit by capitalization,
proactive skilled management, and supportive and sustainable governance
practices.

 

Cheap genetic information

Cheap genetic information has revolutionized the discovery process, which is
yielding validated drug targets at an unprecedented rate. According to the
National Human Genome Research Institute, the approximate cost to sequence a
human genome fell to less than $1,000 in 2020. This reduction in cost has
fuelled tremendous productivity. According to data from the United States
Patent and Trademark Office, the number of drug patents has inflected upward
since 2010, which is translating into more new drugs in company pipelines.
Technological applications are also creating platforms of addressable
diseases, increasing bandwidth, and enabling companies to target more diseases
with superior scientific accuracy and safety profiles than in previous
generations of drug development.

 

Market leaders

Market valuation and growth

Although genetically validated targets can sometimes be addressed by existing
traditional approaches, such as small molecules and antibodies, in specific
tissues it is hard to beat the speed and ease in which DNA and RNA based
medicines can be developed. Gene therapies also carry the potential for a
one-time cure and RNA medicines for infrequent injections. The market for
genetic medicine has been growing. According to Capital IQ, the cumulative
market capitalization of the genetic medicine companies has increased from
$9.4B at the end of 2014 to $202.8B by the end of 2021. Genetic medicine
includes companies that use in vivo and ex vivo gene therapy, genetic editing,
sRNA and mRNA based technologies to develop new treatments.

 

Looking at just 2021, the FDA approved 60 new drugs, topping the previous
year's 59. Approvals by modality include: RNA for three, novel antibody
technologies for three, and cell therapies for two. Additionally, mRNA firmly
established itself as the preferred modality for COVID vaccines, and Intellia
demonstrated human proof-of-concept for in vivo CRISPR, unlocking another new
modality in the battle against disease.

 

 

Our strategy in action

Engaging in deep research and unlocking value

 

RTW's team is comprised of individuals with medical and advanced scientific
training and legal and banking experience, enabling a deeply differentiated
approach to research, idea generation and strategic investment.

 

JIXING

 

6.6% of NAV

2020: 1.3%

 

Portfolio company ownership

<10%

2020: <20%

 

The need

We formed JIXING in early 2020, borne out of a two-year study of innovation,
biotechnology, and access to healthcare in China. JIXING is a Shanghai-based
biotechnology company focused on the development and distribution of
innovative US and European drugs in the Chinese market.

 

Mission

JIXING will leverage clinical development and commercial expertise in the
United States and Europe to bring global innovative medicines to Chinese
patients.

 

Status

JIXING's pipeline now includes five assets focused on cardiovascular and
ophthalmology conditions with high unmet need through partnerships with
Cytokinetics, Milestone, and Oyster Pharma. RTW further capitalized JIXING by
providing Series B and C funding.

 

Next catalyst

By working closely with the JIXING team we look to in-license additional
late-clinical stage or commercial stage assets into its growing pipeline and
provide further capital for business operation expansion.

 

How we approach research and investment

We seek to identify biopharmaceutical and medical technology assets,
ascertained through rigorous scientific analysis, that have a high probability
of becoming commercially viable products and can significantly improve
patients' lives.

 

Key achievements

Medical conference meetings attended

147

2020: 115

 

Private investments

25

2020: 16

 

Key statistics

Medical conference presentations attended

3,480

2020: 2,000

 

Poster presentations captured

6,500

2020: 3,400

 

Priorities for 2022

Continue expanding institutional data library and research coverage to track
and source the most promising assets globally.

- Private investments deal pace in line with 2020-2021

- Two-thirds of the deals to be in mid-late stage venture and one-third in new
company creation and early stage venture

 

Link KPIs

1 NAV growth

2 Total shareholder return

3 Premium/discount to NAV

4 Percent of NAV invested in core portfolio companies

6 Active and robust pipeline

 

Link principal risks

1 Failure to achieve investment objective

2 Counterparty Risk

3 The Investment Manager relies on key personnel

4 Portfolio Companies may be subject to litigation

5 Exposure to global political and economic risks

7 Imposition of pricing controls for clinical products and services

 

 

Leveraging RTW's research process for differentiated idea generation

 

Our competitive advantage is anchored in our internal idea generation process,
which we have refined over the years. In our focus areas we aspire to achieve
a level of research depth consistent with those making permanent capital
decisions, which means we are generally comparing ourselves to the work done
within large biotech and pharma companies. The process begins with attending
over 100 medical meetings worldwide each year. Medical conferences are where
all meaningful scientific data are first shared with the scientific community.
Over the years we have built our institutional level database library,
enhanced by technology and data science. This effort leads us to some of the
most promising assets, where we then seek out the companies or academics
behind the projects. Externally, we also generate ideas in traditional ways,
too. We place high value on building long-term relationships with management
teams and scientists, and enjoy working with our investment firm peers and
other players in our community.

 

We like to use the analogy that we are organized much like a business
development team at a large biotech company. Across our team we have doctors,
scientists, and drug development expertise, along with bankers, lawyers and
operators who can execute.

 

Our rigorous approach to deal sourcing involves deep research in areas of
expertise.

The research coverage is structured based on a modality (i.e. gene therapy,
RNA medicine, small and large molecules, medtech) or a therapeutic area (i.e.
rare disease, cancer, immunology, neurology) with a collaborative,
consensus-building approach of gaining the most comprehensive knowledge,
leading to conviction on the most likely transformational therapies.

 

We leverage our proprietary in-house research developed over fifteen years of
operating in the life sciences sector. RTW has developed repeatable internal
processes combining an institutional data library, technology, and manpower to
comprehensively cover critical drivers of innovation.

 

Work with management teams and syndicate partners.

 

We believe in developing long-term relationships with great entrepreneurs and
scientists who are as passionate about medicine as we are, and working closely
with our peers to support companies at any stage of their lifecycle.

 

Actively engaging our wide network of doctors, academics and universities for
promising new academic work. We continue to cultivate relationships with
entrepreneurs, principal investigators, and academic institutions to allow for
a wide range of intelligence gathering of investment opportunities.

 

 

An investment strategy built for the future

 

The well-roundedness of the RTW team, strengthened by strong ties across
industry, academia and banking platforms, gives it the ability to source
viable prospective target businesses, capitalise them, and ensure
public-market readiness.

 

Identify an area of transformational innovation

We have developed expertise through our comprehensive study of industry and
academic efforts in targeted areas of significant innovation. We distill
opportunities across healthcare through three distinct lenses: disease areas,
scientific technologies, and genetic analysis.

 

Identify value and assets that answer the unmet need

We apply a rigorous approach to idea screening, analysis, and capital
commitment. The process starts with the careful tracking of transformational
events. Examples of such events include clinical data, regulatory decisions,
product launches, competitive entrants, intellectual property disputes,
industry transformations, distressed situations, and corporate change. Our
analytical approach incorporates the study of historical data gathered from
scientific literature, regulatory agencies, medical meetings, management
teams, and internal expertise.

 

Select assets with high odds of becoming approved therapies

We assign probabilities to various outcomes and use conservative valuation
techniques to assign valuations to the various scenarios.

 

Identify how RTW can maximize value

Opportunities for financial engineering or active involvement are also
considered, such as royalties, SPACs, structured deals, distress financing,
and company formation.

 

Our strategy in action

Build new companies around promising academic licenses

 

RTW engages in new company formation around promising academic licenses. We
are well-placed to offer support to early-stage life sciences companies and
NewCos. RTW's business and operations teams consist of members with financial,
capital markets, legal, regulatory, tax, and accounting expertise and enforces
a strong compliance culture.

 

Rocket

13.3% of NAV

2020: 41.1%

 

Portfolio company ownership

<5%

2020: <5%

 

The need

Rocket is a clinical-stage platform biotechnology company advancing an
integrated and sustainable pipeline of genetic therapies for rare childhood
disorders.

 

Mission

Rocket's mission is to develop first-in-class and best-in-class, curative gene
therapies for patients with devastating diseases. Rocket was born out of a
year-long study in gene therapy. In late 2015, Rocket was formed around a
single academic license from a European academic institution. RTW helped
Rocket hire a world-class management team, including CEO Dr. Gaurav Shah and
COO Kinnari Patel, and continued to identify additional targets and licensed
four more academic programs.

 

Status

Five products in clinical trials (2020: five)

Two programs in registration- enabling Phase 2 (2020: one)

 

Medium-term milestones

First global submission

Platform and pipeline expansion

 

How we build new companies

RTW's business and operations teams consist of members with financial, capital
markets, legal, regulatory, tax, and accounting expertise and enforces a
strong compliance culture.

 

Key achievements

New company creation

1

2020: 1

 

In-licensing deals for JIXING and Yarrow

4

2020: 1

 

Funding rounds backed by RTW in JIXING and Yarrow in 2021

3

2020: 1

 

Key statistics

In depth study of China biotech sector before newco creation

2 years

 

Longstanding expertise in genetic diseases and oligotherapeutics

10+ years

 

Total newco creations

3

 

Priorities for 2022

Continue due diligence efforts to in-license additional assets into JIXING and
Yarrow pipeline.

Start a new company creation in the UK.

 

Link KPIs

5 Diversified portfolio across multiple therapeutic areas, treatments
modalities and geographies

 

Link principal risks

3 The Investment Manager relies on key personnel

 

We leverage collective genius

We leverage our proprietary "data-first" research process to source the
highest quality assets across the US, UK, and Europe, and complement the
scientific rigour with years of financial investment, company building, and
transactional expertise. RTW has a world class infrastructure for supporting
new company creation. Because we have always made exciting assets the driver
of what we work on, over the years we developed the skills and brought in the
talent needed to support companies regardless of stage. This has made its way
into our own firm DNA, and most of us actually enjoy being creative on the
business side nearly as much as we enjoy science.

 

Our research approach is collaborative and consensus-based, led by the team
with industry and academic backgrounds, which sets the tone for exceptional
research. We believe that true value creation takes time and solving for
patients' unmet needs endures volatile markets.

 

We have expanded our new ventures team with experienced venture capitalists
and drug developers, as well as capabilities in data science technology to
enhance data management. Our business team, complemented by experienced
investment bankers and ex consultants, focuses on building targeted academic
relationships in areas of high yield science, managing the capital markets
process and syndicate building, and becoming a thought leader in the broader
healthcare ecosystem.

 

Core portfolio companies added in 2021: 21

2020: 15

 

Core portfolio businesses supported in 2021

24

2020: 22

 

The US Market:

RTW has a core focus on the US, with deep coverage of opportunities from
academia to mid-size public companies. The US Portfolio Companies reflect a
larger pool of opportunities created by the most robust venture and capital
markets ecosystem.

 

What this means for investors:

- access to a robust pool of private and public opportunities

- access to venture and capital markets that support innovation

 

 

The UK & European Market:

RTW has identified and invested in exceptional British and European scientific
assets. It wishes to contribute to these biotech ecosystems by injecting
capital where needed. It intends to engage in NewCo creation around promising
early-stage assets by partnering with universities and in-licensing academic
programs as well as through its proprietary in-house efforts; and providing
financial and human capital to entrepreneurs to advance scientific programs in
development.

 

What this means for investors:

- access to cutting edge research labs and academic knowledge

- access to much greater breadth of science and opportunity

- participation in value creation in local biotech ecosystem

 

 

The China Market:

RTW plans to capture commercialization opportunities in China by investing
across the venture capital lifecycle from new company formation to IPO to
bring successful innovative Western drugs to Chinese patients.

 

What this means for investors:

- access to Chinese budding biotech market, innovation and expertise

- an opportunity to establish themselves in a new market with the scope for
significant growth

 

Our strategy in action

Support investments throughout the lifecycle

 

Drug development is not a linear process. There are advancements and setbacks,
and we are structured to maximize value creation at any point beginning with
company creation to late stage venture and into publicly traded markets. We
let the fundamentals and not market movements dictate our investment.

 

Immunocore

 

2.9% of NAV

2020: 1.7%

 

Portfolio company ownership

<1%

2020: <1%

 

The need

Immunocore is a UK-based publicly traded biotechnology pioneering the
development of a novel class of T-cell receptor (TCR) bispecific
immunotherapies designed to treat a broad range of diseases, including cancer,
infectious and autoimmune disease. Immunocore originated with the Investment
Manager as a private company when RTW participated in a $320M Series A round
in July 2015, subsequently supporting Immunocore in Series B and C rounds, as
well as through its IPO in February 2021.

 

Mission

Immunocore is developing tebentafusp, a novel bispecific T cell receptor (TCR)
therapy for uveal melanoma, a rare and aggressive form of melanoma that
affects the eye. In addition, the company is advancing ImmTAX, its proprietary
platform technology of bispecific molecules that have the potential to
overcome the limitations of the natural immune system allowing a patient's own
T cells to recognise and kill the infected or cancerous cells via an immune
activating effector function.

 

Status

Tebentafusp was in registrational status as YE 2021 and approved in January
2022.

Four additional programs in clinic: two Phase 1 trials in oncology and two
Phase 1 trials in infectious disease (Hepatitis B and HIV).

 

Next catalyst

Kimmtrak (tebentafusp), a first-in-class TCR therapy, received FDA approval
for uveal melanoma in January 2022.

 

How we support companies through the lifecycle

We are full life cycle investors supporting scientists and entrepreneurs at
any stage where we identify opportunity, from academic programs in need of
industry sponsorship all the way to mature publicly traded companies.

 

Key achievements

Number of portfolio company IPOs

9

2020: 6

 

Together NAV contribution in 2021

8%

2020: 15%

 

Key statistics

Average step-up from the time of investment to IPO

1.9x

2020: 1.8x

 

NAV in aggregate of 9 (2020: 5) portfolio companies where we have a board seat

c.30%

2020: c.48%

 

Priorities for 2022

Continue supporting existing portfolio companies based on their capital needs,
as well as continue expanding our creative financial solutions tool kit.

 

Link KPIs

4 Percent of NAV invested in core portfolio companies

5 Diversified portfolio across multiple therapeutic areas, treatments
modalities and geographies

 

Link principal risks

5 Exposure to global political and economic risks

 

Progressing research to innovation to reality through collaboration,
excellence and consensus.

 

We support companies through the ups and downs of the often challenging
journey to bring therapies to patients.

 

True value realization from transformative products takes time, and in order
to capture that value, it is critical to be involved and invested in such
companies throughout the various stages of their development and ultimately
distribution to patients. Scientific development rarely follows a linear path
and nor do we, which is why we are always thinking about the optimal way to
support a company.

 

As a full-life cycle investor, RTW has achieved multiple successful
transaction milestones and provided creative financial solutions, including
successfully creating new companies around academic licenses, supporting those
companies along the life cycle by taking them public through reverse mergers,
recapitalizations, SPACs, and offering royalty-backed funding.

 

RTW has earned a constructive reputation of being deeply knowledgeable in
science, supportive to entrepreneurs and aligned with the companies for the
long term, until the maximum value of those underlying assets can be achieved.
This has become an earned privilege for us.

 

[graphic content below]

 

 Clinical stages of the portfolio companies (based on the most advanced
 program)
 Modality                  Company Name              Disease / Tx Area         Stage
 Genetic Medicine
                           Rocket                    Rare disease              Phase 2
                           Avidity                   Rare disease              Phase 1
                           Encoded                   Rare disease              Phase 1
                           Tenaya                    Cardiovascular            Preclinical
                           Yarrow                    Rare disease              Preclinical
                           Alcyone                   Rare disease              Preclinical
 Antibody
                           Immunocore                Oncology                  Registrational
                           iTeos                     Oncology                  Phase 2
                           Prometheus                Inflammation              Phase 1
                           Ventyx                    Autoimmune                Phase 1
                           Numab                     Oncology                  Phase 1
                           Pyxis                     Oncology                  Preclinical
 Cell therapy
                           Artiva                    Oncology                  Phase 1
                           Kyverna                   Autoimmune                Phase 1
                           Umoja                     Oncology                  Preclinical
 Targeted protein degradation
                           C4                        Oncology                  Phase 1
                           Monte Rosa                Oncology                  Preclinical
                           Lycia                     Inflammatory              Preclinical
 Medtech and Diagnostics
                           Pulmonx                   Pulmonary                 Commercial
                           InBrace                   Orthodontic               Commercial
                           Magnolia                  Sepsis (inflammatory)     Commercial
                           Beta Bionics              Type 1 Diabetes           Pivotal
                           Orchestra                 Cardiovascular            Pivotal
                           Ancora                    Cardiovascular            Pivotal
                           Prometheus labs           Inflammation              N/A
 Spec Pharma
                           Nuance                    Iron deficiency           Commercial
 Small molecule
                           JIXING                    Cardiovascular            Phase 3
                           Milestone                 Cardiovascular            Phase 3
                           Tarsus                    Ophthalmology             Phase 3
                           Athira                    Neurology                 Phase 2/3
                           Landos                    Autoimmune                Phase 2
                           Visus                     Ophthalmology             Phase 2
                           GH Research               Neurology                 Phase 2
                           Neurogastrx               GI                        Phase 2
                           Cincor                    Cardiovascular            Phase 2
                           Acelyrin                  Inflammatory              Phase 2
                           Nikang                    Oncology                  Phase 1
                           Biomea                    Oncology                  Phase 1
                           Artios                    Oncology                  Phase 1
                           Third Harmonic Bio        Autoimmune                Phase 1

 

Progress through clinical trials

 

44% of portfolio companies have progressed to the next stage of their clinical
trials in 2021.

 

 chart 

*excludes commercial stage portfolio companies and companies added in 2021.

 

 

Our Business Model

 

A business model built for the future

 

Transformational innovations

Our long-term strategy is anchored in identifying sources of transformational
innovations by engaging in a deep scientific research and rigorous idea
generation process, which is complemented with years of financial investment,
company building, transactional, and legal expertise.

 

What we need to create value

Experienced team

A collaborative team of doctors, academics, drug developers, coupled with
seasoned venture capitalists, investment bankers, lawyers and operators with a
strong compliance culture.

 

Deep scientific expertise

We developed repeatable internal processes combining technology and manpower
to comprehensively cover critical drivers of innovation globally to identify
biopharmaceutical and medical technology assets that have a high probability
of becoming commercially viable products and can dramatically change the
course of treatment outcomes to patients.

 

Full life cycle investing

Taking a long-term full lifecycle approach and having a true evergreen
structure enables us to avoid pitfalls of structural constraints of
venture-only or public-only vehicles.

 

Global reach

Our Priority is to unlock value by advancing early-stage scientific
development and delivering innovative therapies to patients in need.

 

How we create value

Our purpose drives everything we do

Identify transformative assets with high growth potential across the
biopharmaceutical and medical technology sectors. Driven by our deep
scientific understanding and a long-term approach to supporting innovative
businesses, we invest in companies developing next-generation therapies and
technologies that can significantly improve patients' lives.

 

Invest in relationships

We focus on identifying transformational innovations and unmet needs across
the life sciences space, specifically backing scientific programs that have
the potential to disrupt the prevailing standard of care in their respective
disease areas.

 

Deep scientific expertise

We believe in developing long-term relationships with great entrepreneurs and
scientists who are as passionate about medicine as we are, and working closely
with our peers to support companies at any stage of their lifecycle.

 

Support through the lifecycle

A key part of our competitive advantage is the ability to determine at what
point in a company's life cycle we should support the target asset or
pipeline. As a full-life cycle investor, we can provide growth capital,
creative financing solution, capital markets expertise, or guidance through
investing our time and sharing our collective experience as directors and
stewards of tomorrow's most exciting and disruptive companies.

 

Value creation

Patient benefits

Innovation is the best medicine. We believe solving unmet patients' needs is
the best way to create value.

·      RTW's top 10 most successful investments since inception
commercialized 10 drugs.

 

Shareholder

Privileged access to private markets and bespoke negotiated opportunities.

·      71% (2020: 81%) total shareholder return since inception

 

Portfolio companies

We support teams trying to solve the inevitable setbacks that occur when
introducing a first in class or disruptive therapy.

·      66% (2020: 69%) of NAV deployed into 42 (2020: 22) core portfolio
companies

 

RTW Charitable Foundation

Founded as the charitable foundation arm of RTW, RTWCF partners with
organizations conducting disease research and championing humanitarian causes.

·      9 rare disease grants awarded across 6 countries

·      12 community organizations and research partners have been
supported in responding to COVID needs in New York City

 

New Company Creation

 

 chart 

 

 

Portfolio Review

 

Seeking gene therapy cures

Rocket's pipeline is comprised of first-in-class gene therapies that
incorporate both adeno-associated viral vector (AAV) and lentiviral vector
(LVV) approaches to gene therapy. They are platform agnostic and choose each
program's gene therapy platform based on what is most practical for the
disorder being targeted.

 

Rocket

Market Cap 2021

$1.4B

2020: $3.5B

 

NAV invested

13.3%

2020: 41.1%

 

Portfolio company ownership<5%

2020: <5%

 

 

The need

Rocket is a clinical-stage company advancing an integrated and sustainable
pipeline of genetic therapies for rare childhood disorders.

 

Mission

Rocket's mission is to develop first-in-class and best-in-class, curative gene
therapies for patients with devastating diseases.

 

Status

- Five programs are in the clinical trials

- Two programs in registration- enabling Phase 2

 

Medium-term milestones

- First global submission

- Platform and pipeline expansion

 

Identifying unmet patient need

We seek to invest and build companies developing transformative therapies.
Thanks to genome, disruptive innovation of new modular technologies, such as
RNA medicine and gene therapy, can address targets undruggable before by older
modalities like small molecules and antibodies.

 

Forming and building Rocket

Rocket was born out of more than a year-long study in gene therapy. In late
2015, Rocket was formed around a single academic license from a European
academic institution. RTW hired a world-class management team, including CEO
Dr. Gaurav Shah, COO Kinnari Patel, and CMO Dr. Jonathan Schwartz, and
continued to identify additional targets and licensed four more academic
programs.

 

Supporting Rocket through the lifecycle

RTW completed two private financings, syndicating both the Series A and Series
B rounds, and took Rocket public through a reverse merger in January 2018. We
believe opportunities exist to license additional gene therapy academic assets
into the Rocket pipeline in the future. In addition to our board
representation in the company, Rocket's generous pipeline diversification of
now five clinical programs creates an attractive risk reward opportunity,
giving us comfort in owning an outsized position in the company.

 

Developing first in class gene therapies

Five of Rocket's clinical programs include four lentiviral vector-based gene
therapies for the treatment of:

- Fanconi Anemia, a difficult to treat genetic disease that leads to bone
marrow failure and potentially cancer;

- Leukocyte Adhesion Deficiency-I, a rare genetic disorder of immunodeficiency
in young children;

- Pyruvate Kinase Deficiency, a rare genetic disorder affecting red blood
cells;

- Infantile Malignant Osteopetrosis, a rare, severe monogenic bone resorption
disorder characterized by skeletal deformities, neurologic abnormalities and
bone marrow failure;

- and an adeno-associated virus-based gene therapy for Danon disease, a
devastating, paediatric heart failure condition.

 

Rocket's goal is to have all five clinical program become approved
first-in-class gene therapies. The company is aspiring to become the next
"Genentech of gene therapy" and we are looking forward to supporting them on
this journey.

 

Catalysts

Fanconi Anemia (LVV) Q3 2022

Leukocyte Adhesion Deficiency-I (LVV) Q2 2022

Danon Disease (AAV) H2 2022

Pyruvate Kinase Deficiency (LVV) H2 2022

Infantile Malignant Osteopetrosis (LVV) TBD

 

Portfolio review

Disruptive science, driven by heart

 

JIXING is a leading biotechnology company committed to bringing innovative
science and medicines to underserved patients in China

 

Latest funding round in 2021

Series C

2020: Series A

 

NAV invested

6.6%

2020: 1.3%

 

Portfolio company ownership

<10%

2020: <20%

 

Pipeline assets in 2021

5

2020: 1

 

The need

We formed JIXING in early 2020, borne out of a two-year study of innovation,
biotechnology, and access to healthcare in China. JIXING is a leading
biotechnology company headquartered in Shanghai committed to bringing
innovative science and medicines to underserved Chinese patients with serious
and life-threatening diseases.

 

Mission

Backed by RTW, JIXING partners with global biotechnology companies to develop
and commercialize novel, innovative therapeutics to treat unmet medical needs
in cardiovascular and ophthalmic diseases. With a strong and further
developing asset pipeline, industry leading talent, and patient-centric focus,
JIXING is dedicated to deliver a meaningful and lasting impact on patients in
Greater China.

 

Status

JIXING's pipeline now includes 5 assets focused on cardiovascular and
ophthalmology conditions with high unmet need through partnerships with
Cytokinetics, Milestone, and Oyster Pharma. RTW further capitalized JIXING by
providing a Series B and C funding.

Named Joseph Romanelli, a former President of Merck's operations in China and
a 25-year pharmaceutical industry veteran, as a new CEO of JIXING.

 

Next catalyst

By working closely with the JIXING team we look to in-license additional
late-clinical stage or commercial stage assets into its growing pipeline and
provide further capital for business operation expansion.

 chart 

 

Portfolio review

Opening up unrealised potential

 

Yarrow is an RTW-incubated company developing antisense oligonucleotide (ASO)
therapeutics for severe, genetically defined CNS diseases.

 

Latest funding round in 2021

Seed

 

NAV invested

0.1%

 

Portfolio company ownership

<5%

 

Pipeline assets in 2021

1

 

Recent advances have enabled and derisked development of ASO therapeutics for
CNS diseases. Next generation sequencing has improved diagnosis and patient
pool access. Whilst fundamental understanding of CNS biology has made big
strides thanks to improved sequencing, biochemistry, and imaging techniques,
allowing the deciphering of molecular mechanisms that cause a disease.
Furthermore, improved potency and performance through widened medicinal
chemistry repertoire and better molecular understanding, as well as and
increases number of tractable CNS genetic targets resulted in substantial
improvements in ASO therapeutics design.

 

The need

There are 100+ genetically-defined CNS diseases tractable antisense with
oligonucleotide (ASO) therapeutics. However, only 7 monogenic CNS diseases
have ASOs in development or approved. Genetically-defined CNS diseases provide
a vast opportunity for new, innovative ASO therapeutics.

 

Mission

Yarrow is developing ASO therapeutics for severe, genetically defined CNS
diseases. Yarrow was founded and incubated by the RTW team in New York and is
rooted in the firm's longstanding expertise and commitment to solving genetic
diseases and oligotherapeutics.

 

Status

Yarow in-licenced its first ASO asset from ProQR. RTW capitalized Yarrow by
providing seed funding.

 

Next milestone

By working closely with the Yarrow team, we look to expand Yarrow's internal
R&D capabilities, in-licence additional assets into the growing pipeline
and further capitalize its business and team expansion.

Operational and Financial Review for the year
 
Market Capitalisation

The Company's market capitalisation grew from U$360 million to US$378 million
during year. This was driven by equity issuance and offset by a decline in the
Company's share price.

 

Ordinary NAV

The Ordinary NAV of the Company declined from US$375.3 million to US$363.0
million during the year. The main driver of the decline was the share price
performance of publicly-listed portfolio companies, this was partially offset
by issuance of 20.9m shares.

 

NAV Per Ordinary Share

The 12.8% decline in NAV per Ordinary Share was primarily driven by the
performance of Rocket share price and the Company's other public portfolio
companies. There was also a small positive contribution of approximately 1%
from equity issuance at a premium to NAV during the year and a reduction in
the performance allocation accrual.

 

Premium / discount

 

The Company's shares traded on average c. 10% premium due to market demand
during the reporting period. At the year end, the Company's Ordinary Shares
were trading at a 4.1% premium to NAV (2020: 4.1% discount to NAV). The
Company's NAV for December 2020 moved sharply higher but was reported in
January 2021 resulting in the shares trading at a discount to the unpublished
December NAV in December 2020 and recovering to a premium to the published
December 2020 NAV during 2021.

 
Total Return to Shareholders Based on Ordinary NAV

As the Company has not paid dividends, the negative total return for the year
of -12.8% (2020: +54.3%) equates to the decline in NAV per Ordinary Share.
There was no performance allocation triggered during the reporting period as
the total shareholder return based on ordinary NAV movements was negative.

 

Total Return to Shareholders Based on Share Price

The negative share price return of -5.3% in the year compared to the NAV
movement of -12.8% was the result of the Company's shares moving from a
discount to a premium. Nevertheless, the Company's shares traded at a premium
to NAV throughout the majority of the period.

 

Ongoing Charges

The Company's ongoing charges ratio is 1.78%, calculated in accordance with
the AIC recommended methodology, which excludes non-recurring costs and uses
the average NAV in its calculation.

 

 

Key Performance Indicators

The Board has identified the following indicators for assessing the Company's
annual performance in meeting its objectives:

 

 Financial KPIs                                                          Description                                                                   Progress                                                                        Key factors                                                                     Link to the strategy                                                            Link to risks and uncertainties
 1. NAV Growth                                                           Includes performance of the portfolio companies and cash management strategy  12.8% Ordinary NAV decline during the reporting period driven largely by        Portfolio performance and progression through clinical trials                   Achieve superior long-term capital appreciation; targeting an annualized total  Failure to achieve investment objective

                                                                             public companies' share price performance
                                                                               return of 20% over the medium term

                                                                         Net of all fees and costs                                                                                                                                     Cash management                                                                                                                                                 Clinical Development & Regulatory Risks

                                                                                                                                                                                                                                       Capital pool and deployment                                                                                                                                     Exposure to global political and economic risks

                                                                                                                                                                                                                                       Scientific and financial risks                                                                                                                                  Impact of COVID-19
 2. Total Shareholder Return                                             Indicates performance of delivering value to the shareholders                 (5.3)% return during the reporting period (US$1.88 to US$1.78 price per share)  Portfolio performance                                                           Achieve superior long-term capital appreciation; targeting an annualized total  NAV growth and performance drivers

                                                                               return of 20% over the medium term

                                                                                                                                                                                                                                       Liquidity of RTW.L shares                                                                                                                                       Failure to achieve investment objective

                                                                                                                                                                                                                                       General market sentiment                                                                                                                                        Clinical Development & Regulatory Risks

                                                                                                                                                                                                                                                                                                                                                                                                       Exposure to global political and economic risks

                                                                                                                                                                                                                                                                                                                                                                                                       Impact of COVID-19
 3. Premium/ discount to NAV                                             Indicates the level of supply and demand for the Company's shares.            The Company traded at an average premium of c. 10% to NAV during the year.      Portfolio performance                                                           Achieve superior long-term capital appreciation; targeting an annualized total  NAV growth and performance drivers

                                                                               return of 20% over the medium term

                                                                                                                                                                                                                                       Liquidity of company's shares

                                                                                                                                                               Failure to achieve investment objective

                                                                                                                                                                                                                                       Governance

                                                                                                                                                                                                                                                                                                                                                                                                       Exposure to global political and economic risks
 4. Percent of NAV invested in core portfolio companies                  Indicates level of capital deployment into core portfolio companies           More than 2 /3 of the NAV capital deployed into core portfolio companies        Level of capital deployment and investment pace, as well as funds availability  Identify transformative assets with high growth potential across the            The Investment Manager relies on key personnel

                                                                               to be deployed into new portfolio companies or for follow-on investments into   biopharmaceutical and medical technology sectors

                                                                                                                                                                                                                                       existing portfolio companies

                                                                                                                                                                                                                                                                                                                                                                                                       Clinical Development & Regulatory Risks

                                                                                                                                                                                                                                                                                                                                                                                                       Exposure to global political and economic risks

                                                                                                                                                                                                                                                                                                                                                                                                       Impact of COVID-19
 Non-Financial KPIs
 5. Diversified portfolio across geographies and therapeutic modalities  Measures Company's commitment to invest in the best-in-class science and      Portfolio companies' focus spans across multiple therapeutic areas, treatment   Continue to diversify within life sciences sector, looking for opportunities    Progress investing and supporting companies developing next generation          Clinical Development & Regulatory Risks
                                                                         innovative assets worldwide                                                   modalities and geographies                                                      globally and also support local biotech ecosystems                              therapies and technologies that can significantly improve patients' lives

                                                                                                                                                                                                                                                                                                                                                                                                       Exposure to global political and economic risks
 6. Active and robust pipeline                                           Delivers transformational new treatments and medical devices to patients in   44/55 programs are in clinical stage capturing a spectrum of early-stage Phase  Balance and breadth of the pipeline across all clinical stages                  Progress towards delivering transformational treatments to patients in areas    Clinical Development & Regulatory Risks
                                                                         need                                                                          1 to late stage Pivotal
                                                                               of high unmet need

                                                                                                                                                                                                                                       Data readouts and progress through multiple clinical stages                                                                                                     Exposure to global political and economic risks

                                                                                                                                                                                                                                       Commercial opportunity and competitive landscape                                                                                                                Imposition of pricing controls

                                                                                                                                                                                                                                                                                                                                                                                                       Impact of COVID-19

 

 

Risk Management

 

Our long-term strategy is anchored in identifying transformative assets with
high growth potential across the biopharmaceutical and medical technology
sectors. Driven by our deep scientific understanding and a long-term approach
to supporting innovative businesses, we invest in companies developing
next-generation therapies and technologies that can significantly improve
patients' lives. With this significant opportunity also come the risk.

 

Our risk framework is overseen by the Audit Committee under delegation from
the Board. Everyone participates in managing the risks, including the Board,
the RTW team, the Company's other advisers, and our portfolio companies.

 

Risk framework

Our risk framework begins with the Board, where the Board defines risk
appetite, oversees the process to ensure a robust assessment of principal
risks, considers the key risks and potential future risks, and receives an
update at each Board meeting. A risk register is maintained that sets out our
principal risks and risk appetite. The RTW team is responsible for day-to-day
operation and oversight of the risk framework. The RTW team has a culture of
transparency, ensuring that any developments are shared and addressed
effectively with the benefit of input from the whole team, and reported to the
Board where appropriate. We rely on having highly experienced personnel to
support and manage issues as they arise.

 

The Audit Committee oversees and monitors the risk framework, including
reviewing the risk register to ensure it properly captures the principal
risks, overseeing the framework for identifying risks (including potential
future risks), reviewing the ongoing operation and effectiveness of our
control environment to manage the principal risks we face on an annual basis,
and ensuring that any actions identified are taken forward by the RTW team.
This review process provides a focus to drive continuous improvement in our
risk processes.

 

Identifying principal risks

We evaluate our principal risks on an ongoing basis and using both top-down
and bottom-up inputs. We also continuously assess for future risks that could
have a potential impact. During the year the Board and the Investment Manager
had ongoing discussions and reviews to consider the current and potential
risks of the Company. We were pleased that our principal risks substantially
capture our key strategic risks to the success of our business model. The
discussions also generated insights into a range of potential emerging risks
and has helped to focus attention on additional areas for monitoring by the
Board and the Investment Manager.

 

The RTW team carries out a bottom-up review, considering each of our life
science companies and our internal operations, both as a specific exercise and
on an ongoing basis through our regular monitoring of our portfolio companies.
In doing this we draw on the underlying assessments by the management teams of
each of our life science companies. These inputs are brought together in our
risk register, which is reviewed by the Audit Committee in detail each year.
The principal risks identified by the Board are set out below. These have not
substantially changed in the last year. The Board also monitors future risks
that may arise, including: the longer-term risks of changes to US
pharmaceutical drug pricing; US FDA productivity and impact of the COVID-19
pandemic; and potential long-term impact of the COVID-19 pandemic on the
biotech sector and portfolio companies.

 

 

 

Risk management structure

 

Board of Directors

Risk management leadership; risk appetite

 

Audit Committee

Review and monitor the risk framework

 

RTW Team

Risk management is integral to the investment process and financial management
Implementing and monitoring risk controls; risk reporting

 

Other advisers

Risk identification; risk reporting

 

 

Portfolio companies' management teams

 Risk identification and mitigation

 

 

Risk appetite

The Board is willing to accept a level of risk in managing our business to
achieve our strategic goals. As part of the risk framework, the Board reviews
the risk appetite in relation to each of the principal risks, and monitors the
actual risk against that. Where a risk is approaching or outside the target
risk, the Board will consider the actions being taken to manage the risks. The
Audit Committee this year carried out a detailed review of the defined risk
types, to ensure it continues to reflect the understanding of the Board
and accurately reflected the risks we take. Following that review the Audit
Committee recommended to the Board that the risk appetite remained
appropriate, and the Board has accepted that recommendation.

 

Principal and Emerging Risks and Uncertainties

 

Under the FCA's Disclosure Guidance and Transparency Rules the Directors are
required to identify the material risks to which the Company is exposed, and
the steps taken to mitigate those risks.

 

The Company has five categories of risks in its risk register namely:

 

·      Investment Risks

·      Operational Risks

·      Governance/Reputational Risks

·      External Risks

·      Emerging Risks

 

 

 RISK TYPE                         RISK DESCRIPTION                                                                RISK CONTROL MEASURE
 INVESTMENT
 1. Failure to achieve investment  The Company's target return on net assets is not                                The Board will monitor and supervise the Company's performance, compared to

objective
guaranteed and may not be achieved.                                            the target return, similar

investment funds and broader market conditions. Where performance is
                                                                                                                   unsatisfactory, the Board will discuss the appropriate response with the
                                                                                                                   Investment Manager.
 OPERATIONAL
 2. Counterparty Risk              The Company has the potential to be exposed to the creditworthiness of trading  The Company uses Goldman Sachs, Morgan Stanley and Bank of America Merrill
                                   counterparties in OTC derivatives contracts, its prime broker in the event of   Lynch as prime brokers and Cowen, UBS, Bank of America Merrill Lynch, Goldman
                                   re-hypothecation of its investments and any counterparty where collateral or    Sachs, and Morgan Stanley as ISDA counterparties. To monitor counter party
                                   cash margin is provided or where cash is deposited in the normal course of      risk, the Investment Manager monitors fluctuations in share prices, percentage
                                   business.                                                                       changes in daily, monthly, and annual 5-year CDS spreads and S&P credit
                                                                                                                   ratings. If a share price moves up or down in excess of 20%, the trader at the
                                                                                                                   Investment Manager is alerted immediately. In case of an alert, the trader
                                                                                                                   notifies RTW's Chief Compliance Officer. There has been no disruption in
                                                                                                                   operations with the Company's counterparties to date.  The Company's bankers
                                                                                                                   are an offshore branch of Barclays Bank PLC and are also included in the
                                                                                                                   Investment Manager's CDS monitoring program.

 

 

 GOVERNANCE/

REPUTATIONAL
 3. The Investment Manager relies on key personnel                     The Investment Manager relies on the founder of RTW, Roderick Wong M.D. and      In the event that Roderick Wong was to no longer work for the Investment
                                                                       has a growing team. Roderick Wong is a key figure at the Investment Manager      Manager or was incapacitated, the Board is able to terminate the Investment
                                                                       and will be extensively involved in investment decisions.                        Management Agreement within 180 days if a suitable replacement has not been
                                                                                                                                                        found and would consider whether it was appropriate to wind up the Company and
                                                                                                                                                        return capital to shareholders, or to appoint a new Investment Manager.
 4. Portfolio Companies may be subject to litigation                   Portfolio Companies may be subject to product liability claims. Such liability   The Investment Manager's due diligence process includes considering the risk
                                                                       claims would have a direct financial impact and may impact market acceptance     that innovative therapies may have unforeseen side effects, based on the
                                                                       even if ultimately rebutted.                                                     Investment Manager's extensive sector knowledge and experience, and based on
                                                                                                                                                        research all published and publicly available information based on safety
                                                                                                                                                        concerns.
 EXTERNAL
 5. Exposure to global political and economic risks                    It is anticipated that approximately 75% of investments will be in US            The Investment Manager has extensive experience transacting across the global
                                                                       companies or licensing agreement with US institutions and 25% of investments     healthcare marketplace and will be responsible for identifying relevant events
                                                                       will be made outside of the US. The Company's investments will be exposed to     and updating the investment plans appropriately.
                                                                       foreign exchange, and global political, economic, and regulatory risks.
 6. Clinical Development & Regulatory Risks                            New drugs, medical devices and procedures are subject to extensive regulatory    The Investment Manager's due diligence process includes the likely attitude of
                                                                       scrutiny before approval, and approvals can be revoked.                          regulators towards a potential new therapy. The due diligence will also
                                                                                                                                                        consider the unmet need of the disease and whether the therapy offers
                                                                                                                                                        advantages over the current standard of care.  In the current COVID-19
                                                                                                                                                        pandemic it is possible that the FDA and other clinical regulators globally
                                                                                                                                                        will prioritise therapies, diagnostics and devices related to this disease
                                                                                                                                                        which might slow clinical trials.
 7. Imposition of pricing controls for clinical products and services  Portfolio Company products may be subject to price controls, price gouging       While future political developments cannot be reliably forecast, the
                                                                       claims and other pricing regulation in the US and other major markets; or        Investment Manager's due diligence process includes an assessment of political
                                                                       government healthcare systems may be the major purchasers of the products.       risk, and the likely acceptability of the investee's pricing intentions.
 8. COVID-19                                                           As the global pandemic due to COVID-19 enters its third year, the UK             The Investment Manager has extensive experience transacting across the global
                                                                       government in common with the US and many other countries has taken steps to     healthcare marketplace, and will be responsible for identifying relevant
                                                                       remove the restriction that were put in place to limit the transmission of the   events and updating the investment plans appropriately.
                                                                       COVID-19 virus. Whilst the ultimate scope of these measures has been eased by
                                                                       various degrees across geographies, they have had a severe impact on the
                                                                       Global Economy, which Governments and the Central Banks were attempting to
                                                                       offset with both traditional and unconventional fiscal and monetary policy
                                                                       measures.  The Company's portfolio will be impacted by any risks emerging
                                                                       from long term changes in the macroeconomic environment.
 EMERGING
 9. Inflation                                                          The unprecedented level of fiscal and monetary stimulus that has been applied    The compounding creation of value through innovation in the biotechnology
                                                                       to the global economy has caused US inflation to surge to a 40-year high and     sector,  in which the Investment Manager invests, outweighs the singular and/
                                                                       resulted in sharp falls in the share prices of technology firms without          or short-term adjustment to valuation levels arising from changes in discount
                                                                       current earnings.                                                                rates as a result of rising inflationary expectations.

                                                                       This may lead to reduced demand for the Company's shares.                        The Investment Manager holds investments that have current earnings and
                                                                                                                                                        cash-flows and has a significant exposure to phase 3 products which have a
                                                                                                                                                        high probability of achieving cash-flows in the near-term.
 10. Availability of capital                                           A record number of Biotech IPOs occurred in 2021 and a record number of          The Investment Manager is experienced in identifying potential in companies
                                                                       companies are trading at <2x than their cash balances, implying that the         that have strong fundamentals at attractive valuations that create an
                                                                       market believes that not all companies will survive.                             asymmetric and attractive risk/reward profile.

                                                                                                                                                        The Board reviews the financing status of the Company's private portfolio with
                                                                                                                                                        the manager at each valuation meeting.
 11. Ukraine Invasion                                                  The Invasion of Ukraine by Russia has led to the imposition of harsh sanctions   The Investment Manager has confirmed that the Company has no direct or
                                                                       on Russia and substantial restrictions on the ability to transact in Russian     indirect exposure to Russian securities or assets.
                                                                       securities and trade with Russian companies.  These sanctions and the

                                                                       corresponding impact on commodity and transport costs have the potential to
                                                                       delay the global economic recovery from Covid-19.

 

 

Longer Term Viability Statement

Assessing the prospects of the Company

The corporate planning process is underpinned by scenarios that encompass a
wide spectrum of potential outcomes. These scenarios are designed to explore
the resilience of the Company to the potential impact of significant risks set
out below.

 

The scenarios are designed to be severe but plausible and take full account of
the availability and likely effectiveness of the mitigating actions that could
be taken to avoid or reduce the impact or occurrence of the underlying risks
and which would realistically be open to management in the circumstances. In
considering the likely effectiveness of such actions, the conclusions of the
Board's regular monitoring and review of risk and the Investment Manager's
internal control systems is taken into account.

 

The Board reviewed the impact of stress testing the quantifiable risks to the
Company's cash flows as detailed in risk factors 1-5 above and concluded that
the Company, would have sufficient working capital to fund its operations in
the following extreme scenario:

 

(1)  The Company incurred NAV losses of 39% of NAV over a three-year period
ending 28 February 2025.

(2)  No new capital was raised.

(3)  $110m of private investments were funded from cash and by selling public
portfolio investments.

 

To provide some context for this scenario the worst-case annual losses for the
NASDAQ Biotech Index (NBI) in the last 10 years were 8.9% in 2018 and 21.4% in
2016 respectively. The Company's three-year loss scenario exceeds the
cumulative impact of both of these worst-case years of 28.3% spread over three
years. The annualized volatility of the NBI index for the last 10 years is 25%
so an annual loss of 40% or more is only likely to occur every twenty years if
the index returns are normally distributed. As there have been no consecutive
losing years for the NBI in recent history a cumulative loss of between 28.3%
and 40% is therefore assumed to be a reasonable stress test.

 

The Board considers that this stress testing-based assessment of the Company's
prospects is reasonable in the circumstances of the inherent uncertainty
involved.

 

The period over which we confirm longer term viability

Within the context of the corporate planning framework discussed above, the
Board has assessed the prospects of the Company over a three-year period
ending 28 February 2025. Whilst the Board has no reason to believe the Company
will not be viable over a longer period, given the inherent uncertainty
involved, the period over which the Board considers it possible to form a
reasonable expectation as to the Company's longer term viability, based on the
stress testing scenario planning discussed above, is the three year period to
February 2025. This period is used for the Investment Manager's business plans
and has been selected because it presents the Board and therefore readers of
the Annual Report with a reasonable degree of confidence whilst still
providing an appropriate longer term outlook.

 

Confirmation of longer term viability

The Board confirms that it has carried out a robust assessment of the emerging
and principal risks facing the Company, including those that would threaten
its business model, future performance, solvency or liquidity.

 

Based upon the robust assessment of the principal and emerging risks facing
the Company and its stress testing-based assessment of the Company's
prospects, the Board confirms that it has a reasonable expectation that the
Company will be able to continue in operation and meet its liabilities as they
fall due over the period to February 2025.

 

On behalf of the Board

 

William Simpson

Chairman

30 March 2022

 

 

Engaging with Stakeholders (Section 172)

 

Section 172 of the Companies Act 2006 applies directly to UK domiciled
companies. Nonetheless the AIC Code requires that the matters set out in
section 172 are reported on by all companies, irrespective of domicile,
provided this does not conflict with local company law.

 

Section 172 recognises that directors are responsible for acting in a way
that they consider, in good faith, is the most likely to promote the success
of the Company for the benefit of its shareholders as a whole. In doing so,
they are also required to consider the broader implications of their decisions
and operations on other key stakeholders and their impact on the wider
community and the environment. Key decisions are those that are either
material to the Company or are significant to any of the Company's key
stakeholders. The Company's engagement with key stakeholders and the key
decisions that were made or approved by the Directors during the year are
described below.

 

 Stakeholder group                                                                Methods of engagement                                                            Benefits of engagements
 Shareholders

 The major investors in the Company's shares are set out below.                   The Company engages with its shareholders through the issue of regular           In the financial year the Company issued:

                                                                                portfolio updates in the form of RNS announcements and quarterly factsheets.

                                                                                -       26 portfolio updates by way of RNS

 Continued access to capital is vital to the Company's longer term growth
                                                                                -       12 monthly NAV announcements by way of RNS
 objectives, and therefore, in line with its objectives, the Company seeks to     The Company provides in-depth commentary on the investment portfolio,

 maintain shareholder satisfaction through:                                       corporate governance and corporate outlook in its Annual and Interim Reports     -       Fact sheets on a quarterly basis

                                                                                and financial statements.

 -       Positive risk-adjusted returns
                                                                                -       Annual and Interim Reports

 -       Continuous portfolio updates communication.

                                                                                In addition, the Company, through its brokers and Investment Manager undertake

                                                                                  regular roadshows to meet with existing and prospective investors to solicit     Through its roadshows and broker outreach, the Company has met with 150+

                                                                                their feedback, understand any areas of concern, and share forward looking       investors / prospective investors.
                                                                                  investment commentary.

                                                                                  The Board receives quarterly feedback from its brokers in respect of their

                                                                                  investor engagement and investor sentiment.
 Service providers

 The Company does not have any direct employees; however, it works closely with   The Company has identified its key service providers and on an annual basis      The feedback given by the service providers is used to review the Company's
 a number of service providers (the Investment Manager, Administrators,           undertakes a review of performance based on a questionnaire through which it     policies and procedures to ensure open lines of communication, and operational
 secretaries, auditor, third party valuation agent, brokers and other             also seeks feedback.                                                             efficiency.
 professional advisers).

 The independence, quality and timeliness of their service provision is

 critical to the success of the Company.                                          Furthermore, the Board and its sub-committees engage regularly with its
                                                                                  service providers on a formal and informal basis.

                                                                                  The Company will also regularly review all material contracts for service
                                                                                  quality and value.
 Portfolio Companies

 The Company has currently invested in 42 Portfolio Companies which are set out   The Investment Manager engages on a regular basis with its portfolio companies   Honesty, fairness and integrity of the management teams of the portfolio
 below.                                                                           in order to conduct regular on-going due diligence and to meet obligations if    companies are vital to the long-term success of the Company's investments.

                                                                                the Investment Manager holds a board seat.

 Community & Environment

 The Company does not have any direct employees.                                  The Company aims to minimize its environmental footprint.                        The Company and the Directors minimise air travel by making maximum use of

                                                                                video conferencing for Company related matters.

 Climate change impact.                                                           The Company does not anticipate any material impact to its business model from

                                                                                climate change.

                                                                                RTW Charitable Foundation represents an extension of the Investment Manager's    To the research grant recipients, RTW Charitable Foundation offers not only
                                                                                  mission where its research process helps RTW identify important causes of        financial support, but also guidance gleaned from RTW's experience in drug

                                                                                human suffering, and introduces the firm to individuals and organizations        development and company building.
                                                                                  trying to make a difference.

                                                                                                                                                                 Beyond research, RTW Charitable Foundation offers support to humanitarian
 RTW Charitable Foundation was created by the Investment Manager so that RTW                                                                                       causes, initiatives that raise disease awareness and programs with a direct
 can apply its work in the community and help patients in instances when there                                                                                     patient impact.
 is limited potential for commercial gain.

 

 

Environmental, Social and Community Issues

As an investment company, the Company does not have any employees or physical
property, and most of its activities are performed by other organisations.
Therefore, the Company does not combust fuel and does not have any greenhouse
gas emissions to report from its operations, nor does it have direct
responsibility for any other emission producing sources.

 

Responsible Investing

The Board believes that all companies have a duty to consider their impact on
the community and the environment. Three of the four Directors, the
Administrator, Company Secretary and external auditor are all based in
Guernsey and Board meetings are held in Guernsey, thus negating the need for
long commutes or flights to/from Board meetings, and thereby minimising the
negative environmental impact of travel to/from Board meetings.

 

The Investment Manager's approach to investment in life sciences companies is
comprised of goals and principles that are aligned specifically with our
mission to power breakthrough therapies that transform the lives of millions,
to find cures for diseases, and improve quality of life. RTW invests in and
supports companies developing life-transforming therapies and technologies for
patients afflicted with disease and disability. As a guiding principle, we
prioritize overall positive impact on patients and long-term meaningful
outcomes to society. We believe that staying aligned with RTW's founding
principles is the foundation of our success and enables us to make socially
conscious and responsible investments in life sciences companies.

 

RTW Charitable Foundation

RTW has also created the RTW Charitable Foundation so that we can apply our
work in the community and help patients in instances when there is limited
potential for commercial gain. While improving human health on a global scale
is its own fulfilment, RTWCF allows RTW to bring hope to those with the rarest
of diseases but whose suffering we find no less affecting.

Statement of Assets and Liabilities

as at 31 December 2021 and 31 December 2020

(Expressed in United States Dollars)

                                                                                                                   2021              2020

                                                                                                                   US$               US$

 ASSETS:
 Investments in securities, at fair value (cost at 31 December 2021:                                               409,179,507       390,790,635
 US$271,421,062; cost at 31 December 2020:
 US$151,961,275)
 Derivative contracts, at fair value (cost at 31 December 2021: US$2,348,062;                                       10,983,574       4,713,942
 cost at 31 December 2020: US$1,763,991)
 Cash and cash equivalents                                                                                          6,484,057        4,553,481
 Due from brokers                                                                                                   12,323,965       20,032,971
 Receivable from unsettled trades                                                                                   200,695          685,498
 Other assets                                                                                                       191,565          124,575

 TOTAL ASSETS                                                                                                      439,363,363       420,901,102

 LIABILITIES:
 Securities sold short, at fair value (proceeds at 31 December 2021:                                               9,318,393         6,672,359
 US$9,620,981; proceeds at 31 December 2020: US$4,986,163)
 Derivative contracts, at fair value (proceeds at 31 December 2021: US$nil;                                         3,310,833        579,782
 proceeds at 31 December 2020: US$6,903)
 Due to brokers                                                                                                     38,019,859       361,032
 Accrued expenses                                                                                                   861,545          530,070
 Payable for unsettled trades                                                                                       492,007          145,930

 TOTAL LIABILITIES                                                                                                 52,002,637        8,289,173

 TOTAL NET ASSETS                                                                                                  387,360,726       412,611,929

 NET ASSETS attributable to Ordinary Shares (shares at 31 December 2021:                                           363,040,222       375,281,126
 212,389,138; shares at 31 December 2020: 191,515,735)

 NET ASSETS attributable to Performance Allocation Shares (shares at 31                                            24,320,504        37,330,803
 December 2021: 1; shares at 31 December 2020: 1)

                                                                                                                   1.7093            1.9595

 NAV per Ordinary Share

 

The audited financial statements of the Company were approved and authorised
for issue by the Board of Directors on 30 March 2022 and signed on its behalf
by:

 

William Simpson
 
Paul Le Page

Chairman
              Director

 

See accompanying notes to the financial statements.

 
 
Condensed Schedule of Investments

as at 31 December 2021

(Expressed in United States Dollars)

 Descriptions                                          Number of Shares      Cost               Fair Value US$      Percentage of Net Assets

                                                                             US$                                    %

 Investments in securities, at fair value

 Common stocks
                 United States
                 Financials                                                  108,150            106,527             0.03
                 Healthcare
                    Prometheus Biosciences, Inc.       740,564               5,396,652          21,850,828          5.64
                    Rocket Pharmaceuticals, Inc.        2,364,728             6,223,376          51,622,012         13.33
                 Others*                                                      131,292,813       177,272,154         45.76
                 Materials                                                   45,415             9,801               0.00
                 Total United States                                         143,066,406        250,861,322         64.76

                 Ireland
                 Healthcare                                                  4,099,989          7,155,755           1.85

                 Netherlands
                 Healthcare                                                  3,339,207          4,302,049           1.11

                 Canada
                 Healthcare                                                  4,400,407          2,573,859           0.66

                 China
                 Healthcare
                    Ji Xing Pharmaceuticals Ltd.       541,205               216,482            844,280             0.22

                 British Virgin Islands
                 Healthcare                                                  226,450            689,080             0.18

                 Cayman Islands
                 Financials                                                  422,961            414,583             0.11
                 Healthcare                                                  104,050            103,530             0.03
                 Total Cayman Islands                                        527,011            518,113             0.14

                 Bermuda
                 Healthcare                                                  260,330            262,413             0.07

                 Belgium
                 Healthcare                                                  207,840            146,096             0.04

                 Switzerland
                 Healthcare                                                  106,002            83,035              0.02

 Total common stocks                                                         156,450,124        267,436,002         69.05

 * No individual investment security or contract constitutes greater than 5
 percent of net assets.

See accompanying notes to the financial statements.

 

Condensed Schedule of Investments (continued)

as at 31 December 2021

(Expressed in United States Dollars)

 Descriptions                                                  Number                 Cost                     Fair Value US$             Percentage of Net Assets

                                                               of Shares              US$                                                 %

 Investments in securities, at fair value

 (continued)

 Convertible preferred stocks
                            United States
                            Healthcare*                                               35,924,442               39,402,135                 10.17

                            China
                            Healthcare
                               Ji Xing Pharmaceuticals Ltd.    10,599,945              14,824,184               24,793,386                6.40
                            Others                                                    1,771,209                1,771,209                  0.46
                            Total China                                               16,595,393               26,564,595                 6.86

                            Switzerland
                            Healthcare                                                1,704,186                1,693,165                  0.44

                            Ireland
                            Healthcare                                                116,545                  132,819                    0.03

 Total convertible preferred stocks                                                   54,340,566               67,792,714                 17.50

 Exchange traded funds
                            United States
                            Index
                            SPDR S&P 500 ETF TRUST             67,579                 26,216,888               32,097,322                 8.28

 Total exchange traded funds                                                          26,216,888               32,097,322                 8.28

 Investment in private investment companies
                            Ireland
                            Healthcare                                                11,814,933               13,068,663                 3.37

                            United States
                            Healthcare                                                8,234,839                10,013,859                 2.59

 Total investment in private investment companies                                     20,049,772               23,082,522                 5.96

 * No individual investment security or contract constitutes greater than 5
 percent of net assets.

Condensed Schedule of Investments (continued)

as at 31 December 2021

(Expressed in United States Dollars)

 Descriptions                                                           Cost             Fair Value       Percentage of Net Assets

                                                                        US$              US$              %

 Investments in securities, at fair value
 (continued)

 American depository receipts
                     United Kingdom
                     Healthcare                                         7,368,293        12,033,889       3.11

                     Netherlands
                     Healthcare                                         3,786,165        3,962,050        1.02

                     Ireland
                     Healthcare                                         893,338          1,085,120        0.28

                     Sweden
                     Healthcare                                         438,397          388,133          0.10

                     Israel
                     Healthcare                                         372,855          308,578          0.08

                     China
                     Healthcare                                         549,132          202,418          0.05

                     Singapore
                     Healthcare                                         231,809          67,036           0.02

 Total American depository receipts                                     13,639,989       18,047,224       4.66

 Convertible bonds
 United States
 Healthcare                                                             723,723          723,723          0.18

 Total convertible bonds                                                723,723          723,723          0.18

 Total investments in securities, at fair value                         271,421,062      409,179,507      105.63

 See accompanying notes to the financial statements.

Condensed Schedule of Investments (continued)

as at 31 December 2021

(Expressed in United States Dollars)

 Descriptions                                                                    Cost             Fair Value       Percentage of Net Assets

                                                                                 US$              US$              %

 Derivative contracts - assets, at fair value

 Equity swaps
              United States
              Healthcare                                                                          5,442,939        1.41

              British Virgin Islands
              Healthcare                                                                          2,128,260        0.55

              Netherlands
              Healthcare                                                                          4,225            0.00
 Total equity swaps                                                                               7,575,424        1.96

 Warrants
              Canada
              Healthcare                                                         1,939,543        3,077,816        0.79

              United States
              Healthcare                                                         407,920          329,865          0.09

              Cayman Islands
              Financials                                                         599              469              0.00

 Total warrants                                                                   2,348,062        3,408,150       0.88

 Total derivative contracts - assets, at fair value                               2,348,062       10,983,574       2.84

See accompanying notes to the financial statements.

Condensed Schedule of Investments (continued)

as at 31 December 2021

(Expressed in United States Dollars)

 Descriptions                                                              Proceeds US$      Fair Value      Percentage of Net Assets

                                                                                             US$             %

 Securities sold short, at fair value

 Common stocks
                  United States
                  Healthcare                                               8,526,920         8,330,314       2.15
                  Materials                                                56,309            9,801           0.00
                  Total United States                                      8,583,229         8,340,115       2.15

                  Netherlands
                  Healthcare                                               278,805           324,576         0.09

                  Cayman Islands
                  Financials                                               96,480            97,018          0.03

                  Switzerland
                  Healthcare                                               106,146           83,035          0.02

 Total common stocks                                                       9,064,660         8,844,744       2.29

 American depository receipts
                  Sweden
                  Healthcare                                               462,836           388,133         0.10

                  China
                  Healthcare                                               93,485            85,516          0.02

 Total American depository receipts                                        556,321           473,649         0.12

 Total securities sold short, at fair value                                9,620,981         9,318,393       2.41

 

 Descriptions                                                                                                                               Fair Value      Percentage of Net Assets

                                                                                                                                            US$             %

 Derivative contracts - liabilities, at fair value

 Equity swaps
                United States
                Healthcare                                                                                                                  3,223,278       0.83

                Ireland
                Healthcare                                                                                                                  52,601          0.01

                Israel
                Healthcare                                                                                                                  34,954          0.01

 Total derivative contracts - liabilities, at fair value                                                                                    3,310,833       0.85

See accompanying notes to the financial statements.

Condensed Schedule of Investments

as at 31 December 2020

(Expressed in United States Dollars)

 Descriptions                                                   Number of Shares          Cost             Fair Value       Percentage of Net Assets

                                                                                          US$              US$              %

 Investments in securities, at fair value

 Common stocks
                  United States
                  Healthcare
                  Rocket Pharmaceuticals, Inc.                  3,089,728                 8,131,396        169,440,683      41.07
                  Others*                                                                 97,062,100       176,270,298      42.72
                  Total United States                                                     105,193,496      345,710,981      83.79

                  Canada
                  Healthcare                                                              3,891,345        2,360,037        0.57

                  Netherlands
                  Healthcare                                                              2,011,065        1,695,645        0.41

                  Cayman Islands
                  Healthcare                                                              749,216          938,398          0.23

                  British Virgin Islands
                  Healthcare                                                              226,450          383,740          0.09

                  China
                  Healthcare                                                              7,325            13,224           0.00

 Total common stocks                                                                      112,078,897      351,102,025      85.09

 Convertible preferred stocks
                  United States
                  Healthcare*                                                             23,972,095       23,591,822       5.72

                  United Kingdom
                  Healthcare                                                              7,402,614        7,707,415        1.87

                  Cayman Islands
                  Healthcare                                                              6,862,515        6,862,515        1.66

                  Ireland
                  Healthcare                                                              116,545          109,806          0.03

 Total convertible preferred stocks                                                       38,353,769       38,271,558       9.28

*No individual investment security or contract constitutes greater than 5
percent of net assets.

 

See accompanying notes to the financial statements.

Condensed Schedule of Investments (continued)

as at 31 December 2020

(Expressed in United States Dollars)

 Descriptions                                                            Cost             Fair Value       Percentage of Net Assets

                                                                          US$             US$              %

 Investments in securities, at fair value (continued)

 American depository receipts
              Ireland
              Healthcare                                                 1,093,043        1,004,772        0.24

              Israel
              Healthcare                                                 422,828          394,447          0.10

              Cayman Islands
              Healthcare                                                 12,738           17,833           0.00

 Total American depository receipts                                      1,528,609        1,417,052        0.34

 Total investments in securities, at fair value                          151,961,275      390,790,635      94.71

 

 Descriptions                                                                    Cost           Fair Value      Percentage of Net Assets

                                                                                  US$           US$             %

 Derivative contracts - assets, at fair value

 Warrants
              Canada
              Healthcare                                                         1,589,508      2,721,084       0.66

              United States
              Healthcare                                                         155,991        209,900         0.05

 Total warrants                                                                  1,745,499      2,930,984       0.71

 Equity swaps
              United States
              Healthcare                                                         13,412         859,586         0.21

              British Virgin Islands
              Healthcare                                                         3,873          846,117         0.20

              Canada
              Healthcare                                                         1,207          77,255          0.02

 Total equity swaps                                                              18,492         1,782,958       0.43

 Total derivative contracts - assets, at fair value                              1,763,991      4,713,942       1.14

See accompanying notes to the financial statements.

Condensed Schedule of Investments (continued)

as at 31 December 2020

(Expressed in United States Dollars)

 Descriptions                                                                 Proceeds       Fair Value      Percentage of Net Assets

                                                                               US$           US$             %

 Securities sold short, at fair value

 Common stocks
                     United States
                     Healthcare                                               4,541,074      6,229,135       1.51

                     Netherlands
                     Healthcare                                               213,386        199,896         0.05

                     Canada
                     Healthcare                                               58,823         78,292          0.02

 Total common stocks                                                          4,813,283      6,507,323       1.58

 American depository receipts
                     Israel
                     Healthcare                                               149,412        147,203         0.04

                     Cayman Islands
                     Healthcare                                               23,468         17,833          0.00

 Total American depository receipts                                           172,880        165,036         0.04

 Total securities sold short, at fair value                                   4,986,163      6,672,359       1.62

 

 Descriptions                                                                        Proceeds      Fair Value      Percentage of Net Assets

                                                                                      US$          US$             %

 Derivative contracts - liabilities, at fair value

 Equity swaps
               United States                                                         6,903         579,782         0.14
               Healthcare

 Total derivative contracts - liabilities, at fair value                             6,903         579,782         0.14

See accompanying notes to the financial statements.

Statement of Operations

For the year ended 31 December 2021 and 31 December 2020

(Expressed in United States Dollars)

 

                                                                                        2021                2020

                                                                                        US$                 US$

 Investment income
 Interest (net of withholding taxes of US$nil 2020: US$nil)                             363,673             70,291
 Dividends (net of withholding taxes of US$123,894;  2020: US$nil)                      294,027             83,814
 Total investment income                                                                657,700             154,105

 Expenses
 Management fees                                                                        4,813,854           2,912,850
 Professional fees                                                                      1,070,317           1,068,017
 Listing fees                                                                           936,615             -
 Administrative fees                                                                    330,834             233,459
 Audit fees                                                                             288,254             162,016
 Directors' fees                                                                        214,353             220,875
 Research fees                                                                          237,984             130,489
 Interest                                                                               215,606             73,545
 Other expenses                                                                         346,867             305,856
 Total expenses                                                                         8,454,684           5,107,107

 Net investment income/(loss)                                                           (7,796,984)         (4,953,002)

 Realised and change in unrealised gain/(loss) on investments, derivatives and
 foreign currency transactions
 Net realised gain/(loss) on securities and foreign currency transactions                41,280,297         8,337,422
 Net change in unrealised gain/(loss) on securities and foreign currency                 (99,115,160)       159,009,990
 translation
 Net realised gain/(loss) on derivative contracts                                        (1,648,961)        (2,880,680)
 Net change in unrealised gain/(loss) on derivative contracts                            2,936,018          1,139,850

 Net realised and unrealised gain/(loss) on investments, derivatives and                (56,547,806)        165,606,582
 foreign currency transactions

 Net increase/(decrease) in net assets resulting from operations                        (64,344,790)        160,653,580

 

See accompanying notes to the financial statements.

Statement of Changes in Net Assets

For the year ended 31 December 2021

(Expressed in United States Dollars)

 

                                                                           Ordinary Share Class Fund     Performance Allocation Share Class Fund     Total Shareholders' Funds

                                                                           US$                           US$                                         US$

 Net assets, beginning of year                                             375,281,126                   37,330,803                                  412,611,929

 Operations
 Net investment gain/(loss)                                                               (7,796,984)                          -                                    (7,796,984)
 Net realised gain/(loss) on securities and foreign currency transactions  41,280,297                    -                                           41,280,297
 Net change in unrealised gain/(loss) on securities and foreign currency   (99,115,160)                  -                                           (99,115,160)
 translation
 Net realised gain/(loss) on derivative contracts                          (1,648,961)                   -                                           (1,648,961)
 Net change in unrealised gain/(loss) on derivative contracts              2,936,018                     -                                           2,936,018
 Performance Allocation                                                    8,035,379                     (8,035,379)                                 -

 Net change in net assets resulting from operations                        (56,309,411)                  (8,035,379)                                 (64,344,790)

 Capital transactions
 Issuance of Ordinary Shares (net of issuance cost of US$222,883)          44,068,507                    -                                           44,068,507
 Performance Allocation distribution                                       -                             (4,974,920)                                 (4,974,920)
 Net change in net assets resulting from capital transactions              44,068,507                    (4,974,920)                                 39,093,587

 Net change in net assets                                                  (12,240,904)                  (13,010,299)                                (25,251,203)

 Net assets, end of year                                                        363,040,222                                     24,320,504                           387,360,726

 

See accompanying notes to the financial statements.

 

 

Statement of Changes in Net Assets
For the year ended 31 December 2020
(Expressed in United States Dollars)

 

                                                                           Ordinary Share Class Fund  Performance Allocation Share Class Fund   Total Shareholders' Funds

                                                                           US$                        US$                                       US$

 Net assets, beginning of year                                             205,695,869                8,691,106                                 214,386,975

 Operations
 Net investment gain/(loss)                                                  (4,953,002)                                  -                     (4,953,002)
 Net realised gain/(loss) on securities and foreign currency transactions  8,337,422                  -                                         8,337,422
 Net change in unrealised gain/(loss) on securities and foreign currency   159,009,990                -                                         159,009,990
 translation
 Net realised gain/(loss) on derivative contracts                          (2,880,680)                -                                         (2,880,680)
 Net change in unrealised gain/(loss) on derivative contracts              1,139,850                  -                                         1,139,850
 Performance Allocation                                                    (32,787,677)               32,787,677                                -

 Net change in net assets resulting from operations                        127,865,903                32,787,677                                160,653,580

 Capital transactions
 Issuance of Ordinary Shares (net of issuance costs of US$209,676)         41,719,354                 -                                         41,719,354
 Performance Allocation distribution                                       -                          (4,147,980)                               (4,147,980)
 Net change in net assets resulting from capital transactions              41,719,354                 (4,147,980)                               37,571,374

 Net change in net assets                                                  169,585,257                28,639,697                                198,224,954

 Net assets, end of year                                                   375,281,126                37,330,803                                412,611,929

 
See accompanying notes to the financial statements.

Statement of Cash Flows

For the year ended 31 December 2021 and 31 December 2020

(Expressed in United States Dollars)

                                                                                                                                       2021               2020

                                                                                                                                       US$                US$
 Cash flows from operating activities
 Net increase/(decrease) in net assets resulting from operations                                                                       (64,344,790)       160,653,580
 Adjustments to reconcile net change in net assets resulting from operations to
 net cash provided by/(used in) operating activities:
 Net realised (gain)/loss on securities and foreign currency transactions                                                              (41,280,297)       (8,337,422)
 Net change in unrealised (gain)/loss on securities and foreign currency                                                                99,115,160        (159,009,990)
 translation
 Net realised (gain)/loss on derivative contracts                                                                                       1,648,961         2,880,680
 Net change in unrealised (gain)/loss on derivative contracts                                                                           (2,936,018)       (1,139,850)
 Purchases of investments in securities                                                                                                (202,925,739)      (117,412,482)
 Proceeds from sales of investments in securities                                                                                       119,715,056       66,905,737
 Proceeds from securities sold short                                                                                                    15,049,848        6,506,635
 Payments for securities sold short                                                                                                     (5,416,866)       (2,306,452)
 Proceeds from derivative contracts                                                                                                     (784,778)         1,222,986
 Payments for derivative contracts                                                                                                      (1,466,746)       (5,785,761)
 Changes in operating assets and liabilities:
 Other assets                                                                                                                           (66,990)          (118,767)
 (Receivable from)/payable for unsettled trades                                                                                         830,880           (1,072,270)
 Due to brokers                                                                                                                        37,658,827         361,032
 Accrued expenses                                                                                                                       331,475           (130,162)
 Net cash provided by/(used in) operating activities (including restricted                                                             (44,872,017)       (56,782,506)
 cash)

 Cash flows from financing activities
 Net proceeds from issuance of shares                                                                                                  44,068,507         41,719,354
 Performance Allocation distribution                                                                                                   (4,974,920)        (4,147,980)
 Net cash provided by/(used in) financing activities                                                                                   39,093,587         37,571,374

 Net change in cash and cash equivalents (including restricted cash)                                                                   (5,778,430)        (19,211,132)
 Cash and cash equivalents (including restricted cash), beginning of the year                                                          24,586,452         43,797,584
 Cash and cash equivalents (including restricted cash), end of the year                                                                18,808,022         24,586,452

 At 31 December 2021, the amounts categorised in cash and cash equivalents
 (including restricted cash) include the following:
 Cash and cash equivalents                                                                                                             6,484,057          4,553,481
 Due from brokers                                                                                                                      12,323,965         20,032,971
 Total cash and cash equivalents (including restricted cash)                                                                           18,808,022         24,586,452

 Supplemental disclosure of cash flow information
 Cash paid during the year for interest                                                                                                250,980            84,698

See accompanying notes to the financial statements

Notes to the Financial Statements

For the year ended 31 December 2021

(Expressed in United States Dollars)

 
1.   Nature of operations and summary of significant accounting policies

 

RTW Venture Fund Limited (the "Company"), is a publicly listed Guernsey
non-cellular company limited by shares. It was originally incorporated in the
State of Delaware, United States of America, and re-domiciled into Guernsey
under the Companies Law on 2 October 2019 with registration number 66847 on
the Guernsey Register of Companies. On 30 October 2019, all of the issued
Ordinary Shares of the Company were listed and admitted to trading on the
Specialist Fund Segment of the London Stock Exchange under ticker symbol: RTW.
Subsequently, on 6 August 2021, the Company's Ordinary Shares were admitted to
trading on the Premium Segment of the London Stock Exchange under ticker
symbol RTWG.

 

The Company seeks to use equity capital (from the net proceeds of any share
issuance or, where appropriate, from the net proceeds of investment
divestments or other related profits) to provide seed and additional growth
capital to the private investments. To mitigate cash-drag, the uninvested
portion is invested across public stocks largely replicating the public stock
portfolios of the Investment Manager's (as defined below) existing US-based
funds. The Company focuses on creating, building, and supporting world-class
life sciences, biopharmaceutical and medical technology companies. The
Company's investment objective is to generate attractive risk-adjusted returns
through investments in securities, both equity and debt, long and short, of
companies with a focus on the pharmaceutical sector.

 

Pursuant to an investment management agreement, the Company appointed RTW
Investments, LP, a Delaware limited partnership (the "Investment Manager"), to
provide the Company with discretionary portfolio management, risk management
services and certain other services. The Investment Manager is an investment
adviser registered with the U.S. Securities and Exchange Commission under the
Investment Advisers Act of 1940.

 

Basis of presentation

 

The financial statements are expressed in United States Dollars. The financial
statements which give a true and fair view and have been prepared in
conformity with US generally accepted accounting principles ("US GAAP") and
are in compliance with the Companies (Guernsey) Law, 2008. The Company is an
investment company and follows the accounting and reporting guidance in
Financial Accounting Standards Board's ("FASB") Accounting Standards
Codification Topic 946, Financial Services - Investment Companies.

 

Although the Company was in a net current liability position as at 31 December
2021, the Directors considered that it is appropriate to adopt a going concern
basis of accounting in preparing the financial statements. In reaching this
assessment, the Directors have considered a wide range of information relating
to present and future conditions including the balance sheets, future
projections, cash flows and the longer-term strategy of the business.

 

The COVID-19 pandemic continues to be a risk to the global economy, and,
although the impact of COVID-19 continues to be seen across the world, the
implications for financial markets has begun to reduce, with equity
volatilities improving. Although impeded by the discovery of the new Omicron
variant in the fourth quarter of 2021, overall indices were in a better
position than at the start of 2021.

 

Like the majority of companies, COVID-19 has had an impact on the Company's
operations but, at the height of the lockdowns in Guernsey and the United
States, the Investment Manager, Administrator and Sub-Administrator
demonstrated that they were able to work remotely without any significant
negative impact on the Company's operations.

While the ongoing implications of COVID-19 are still unknown, as of year-end,
the movements in the market are encouraging but, should another new variant
lead to further lockdowns this could change again. However, in part due to the
successful vaccine roll-out, there is light at the end of the COVID-19
pandemic tunnel, and it is expected that the risk to the Company from it will
continue to decrease throughout 2022.

 

Although the COVID-19 pandemic could have a negative impact on investment
valuations and on the volatility of investment valuations, it does not impact
the ability of the Company to continue as a going concern. The impact of the
COVID-19 pandemic is changing but the Directors consider that the Company is
well placed to deal with challenges arising from the COVID-19 pandemic.

 

Cash and cash equivalents (including restricted cash)

 

Cash represents cash deposits held at financial institutions. Cash equivalents
include short-term highly liquid investments of sufficient credit quality that
are readily convertible to known amounts of cash and have original maturities
of three months or less. Cash equivalents are carried at cost plus accrued
interest, which approximates fair value. Cash equivalents are held for the
purpose of meeting short-term liquidity requirements, rather than for
investment purposes. As at 31 December 2021 and 31 December 2020, the Company
had no cash equivalents.

 

Restricted cash is subject to a legal or contractual restriction by third
parties as well as a restriction as to withdrawal or use, including
restrictions that require the funds to be used for a specified purpose and
restrictions that limit the purpose for which the funds can be used. The
Company considers cash pledged as collateral for securities sold short, cash
collateral posted with counterparties for derivative contracts and further
amounts due from brokers to be restricted cash, as outlined in Note 3.

 

Fair value - definition and hierarchy

 

Fair value is defined as the price that would be received to sell an asset or
paid to transfer a liability (i.e. the 'exit price') in an orderly transaction
between market participants at the measurement date.

 

In determining fair value, the Company uses various valuation techniques. A
fair value hierarchy for inputs is used in measuring fair value that maximizes
the use of observable inputs and minimizes the use of unobservable inputs by
requiring that the most observable inputs are to be used when available.
Observable inputs are those that market participants would use in pricing the
asset or liability based on market data obtained from sources independent of
the Company.

 

Unobservable inputs reflect the Company's assumptions about the inputs market
participants would use in pricing the asset or liability based on the best
information available in the circumstances. The fair value hierarchy is
categorised into three levels based on the inputs as follows:

 

Level 1 - Valuations based on unadjusted quoted prices in active markets for
identical assets or liabilities that the Company has the ability to access.
Valuation adjustments are not applied to Level 1 investments. Since valuations
are based on quoted prices that are readily and regularly available in an
active market, valuation of these investments does not entail a significant
degree of judgement.

 

Level 2 - Valuations based on inputs, other than quoted prices included in
Level 1, that are observable, either directly or indirectly.

 

Level 3 - Valuations based on inputs that are unobservable and significant to
the overall fair value measurement.

 

Investments in private investment companies measured using net asset value
("NAV") as a practical expedient are not categorized in the fair value
hierarchy.

 

The availability of valuation techniques and observable inputs can vary from
investment to investment and is affected by a wide variety of factors,
including the type of investment, whether the investment is new and not yet
established in the marketplace, and other characteristics particular to the
transaction. To the extent that valuation is based on models or inputs that
are less observable or unobservable in the market, the determination of fair
value requires more judgement. Those estimated values do not necessarily
represent the amounts that may be ultimately realised due to the occurrence of
future circumstances that cannot be reasonably determined. Because of the
inherent uncertainty of valuation, those estimated values may be materially
higher or lower than the values that would have been used had a ready market
for the investments existed. Accordingly, the degree of judgement exercised by
the Company in determining fair value is greatest for investments categorised
in Level 3. In certain cases, the inputs used to measure fair value may fall
into different levels of the fair value hierarchy. In such cases, for
disclosure purposes, the level in the fair value hierarchy within which the
fair value measurement falls in its entirety is determined based on the lowest
level input that is significant to the fair value measurement.

 

Fair value is a market-based measure considered from the perspective of a
market participant rather than an entity-specific measure. Therefore, even
when market assumptions are not readily available, the Company's own
assumptions are set to reflect those that market participants would use in
pricing the asset or liability at the measurement date. The Company uses
prices and inputs that are current as of the measurement date, including
periods of market dislocation. In periods of market dislocation, the
observability of prices and inputs may be reduced for many investments. This
condition could cause an investment to be reclassified to a lower level within
the fair value hierarchy.

 

Fair value - valuation techniques and inputs

 

Investments in securities and securities sold short

 

Listed investments

 

The Company values investments in securities including exchange traded funds
and securities sold short that are freely tradable and are listed on a
national securities exchange or reported on the NASDAQ national market at
their closing sales price as of the valuation date. To the extent these
securities are actively traded and valuation adjustments are not applied, they
are categorised in Level 1 of the fair value hierarchy. Securities traded on
inactive markets or valued by reference to similar instruments or where a
discount may be applied are categorised in Level 2 or 3 of the fair value
hierarchy. A discount for lack of marketability based on the 180 day
restriction period under SEC Rule 144 is applied for investments that the
Company purchases prior to an IPO and that subsequently begin trading on the
NASDAQ national market.

 

Unlisted investments

 

Unlisted investments are valued at fair value by the Directors following a
detailed review and appropriate challenge of the valuations proposed by the
Investment Manager. As part of their valuation process, the Investment Manager
engages an Independent Valuer to challenge their assessed fair value on
certain unlisted investments. The Investment Manager's unlisted investment
valuation policy applies to techniques consistent with the IPEV Guidelines.

 

The valuation techniques applied are either a market based approach, an income
approach such as discounted cash flows, or where available, a NAV practical
expedient approach. The IPEV Guidelines recognise that the price of a recent
transaction, if resulting from an orderly transaction, generally represents
fair value as at the transaction date and may be an appropriate starting point
for estimating fair value at subsequent measurement dates. Consideration is
given to the facts and circumstances as at the subsequent measurement date
including changes in the market and/or performance of the investee company.
Milestone analysis is used where appropriate to incorporate operational
progress at the investee company level. In addition, a trigger event such as a
subsequent round of financing by the investee company would influence the
market technique used to calibrate fair value at the measurement date.

 

The market approach utilizes guideline public companies relying on projected
revenues to derive an indicated enterprise value. Due to the nature of the
investments, being in the early stages of development, the projected revenues
are used as a proxy for stable state revenue. A selected multiple is then
applied based on the observed market multiples of the guideline public
companies. To reflect the risk associated with the achievement of the
projected revenues, the early development stage of each of the investments and
the indicated enterprise value is discounted at an appropriate rate.

 

The income approach utilizes the discounted cash flow method. Projected cash
flows for each investment were discounted to determine an assumed enterprise
value.

 

Where applicable, the indicated enterprise value was determined using a
back-solve model based on the pricing of the most recent round of financing.
The internal rate of return for each investment was compared to the selected
venture capital rate applied in the market approach to assess the
reasonableness of the indicated value implied by each financing round. The
derived enterprise value was allocated to the equity class on either a fully
diluted basis or using an option pricing model. The resulting indicated value
on a per share basis is then multiplied by the number of shares to derive the
fair market value.

 

American depository receipts

 

The Company values investments in American depositary receipts that are freely
tradable and are listed on a national securities exchange or reported on the
NASDAQ national market at their last reported sales price as of the valuation
date. These investments are categorised in Level 1 of the fair value
hierarchy.

 

Convertible bonds

 

Convertible bonds are recorded at fair value using valuation techniques based
on observable inputs. These instruments are generally categorised in Level 2
of the fair value hierarchy. In instances where significant inputs are
unobservable, convertible bonds are categorised in Level 3 of the fair value
hierarchy.

 

Convertible preferred stock

 

The Company values Level 1 investments in convertible preferred stock that are
listed on a national securities exchange at their closing sales price as of
the valuation date. Level 3 investments in convertible preferred stock are
valued in accordance with the unlisted investments section above. As of 31
December 2021, these investments are categorised in Level 1 and Level 3 of the
fair value hierarchy.

 

Investment in private investment companies

 

The Company values investment in private investment companies using the net
asset values provided by the underlying private investment companies as a
practical expedient. The Company applies the practical expedient to its
private investment companies on an investment-by-investment basis and
consistently with the Company's entire position in a particular investment,
unless it is probable that the Company will sell a portion of an investment at
an amount different from the NAV of the investment.

 

Equity swaps

 

Equity swaps may be centrally cleared or traded on the over-the-counter
market. The fair value of equity swaps is calculated based on the terms of the
contract and current market data, such as changes in fair value of the
reference asset. The fair value of equity swaps is generally categorised in
Level 2 of the fair value hierarchy.

 

Warrants

 

Warrants that are listed on major securities exchanges are valued at their
last reported sales price as of the valuation date. The fair value of
over-the-counter ("OTC") warrants is determined using the Black-Scholes option
pricing model, a valuation technique that follows the income approach. This
pricing model takes into account the contract terms (including maturity) as
well as multiple inputs, including time value, implied volatility, equity
prices, interest rates and currency rates. Warrants are categorised in all
levels of the fair value hierarchy.

 

Fair value - valuation processes

 

The Company establishes valuation processes and procedures to ensure that the
valuation techniques are fair and consistent, and valuation inputs are
supportable. The Company designates the Investment Manager's Valuation
Committee to oversee the entire valuation process of the Company's
investments. The Valuation Committee comprises various members of the
Investment Manager, including those separate from the Company's portfolio
management and trading functions, and reports to the Board.

 

The Valuation Committee is responsible for developing the Company's written
valuation processes and procedures, conducting periodic reviews of the
valuation policies, and evaluating the overall fairness and consistent
application of the valuation policies.

 

The Investment Manager's Valuation Committee meets on a monthly basis or more
frequently, as needed, to determine the valuations of the Company's Level 3
investments. Valuations determined by the Valuation Committee are required to
be supported by market data, third-party pricing sources, industry-accepted
pricing models, counterparty prices or other methods they deem to be
appropriate, including the use of internal proprietary pricing models.

 

The Company periodically tests its valuations of Level 3 investments by
performing back-testing. Back-testing involves the comparison of sales
proceeds of those investments to the most recent fair values reported and, if
necessary, uses the findings to recalibrate its valuation procedures.

 

On a regular basis, the Company engages the services of a third-party
valuation firm, the Independent Valuer, to perform an independent review of
the valuation of the Company's Level 3 investments and may adjust its
valuations based on the recommendations from the Investment Manager's
Valuation Committee.

 

Translation of foreign currency

 

Assets and liabilities denominated in foreign currencies are translated into
United States Dollar amounts at the year-end exchange rates. Transactions
denominated in foreign currencies, including purchases and sales of
investments, and income and expenses, are translated into United States Dollar
amounts on the transaction date. Adjustments arising from foreign currency
transactions are reflected in the statement of operations.

 

The Company does not isolate that portion of the results of operations arising
from the effect of changes in foreign exchange rates on investments from
fluctuations arising from changes in market prices of investments held. Such
fluctuations are included in net realised and change in unrealised gain/(loss)
on securities, derivatives and foreign currency transactions in the statement
of operations.

 

Reported net realised gain/(loss) from foreign currency transactions arise
from sales of foreign currencies; currency gains or losses realised between
the trade and settlement dates on securities transactions; and the difference
between the amounts of dividends, interest, and foreign withholding taxes
recorded on the Company's books and the United States Dollar equivalent of the
amounts actually received or paid.

 

Net change in unrealised gain/(loss) from foreign currency translation of
assets and liabilities arises from changes in the fair values of assets and
liabilities, other than investments in securities at the end of the period,
resulting from changes in exchange rates.

 

Investment transactions and related investment income

 

Investment transactions are accounted for on a trade date basis. For the year
ended 31 December 2020, realised gains and losses on investment transactions
were determined using cost calculated on a first in, first out basis. However,
with effect from 1 January 2021, realised gains and losses on investment
transactions have been calculated on a specific identification method.  The
change in accounting policy was made in order to achieve a more favorable tax
outcome for shareholders. It is impracticable to determine the cumulative
effect of applying the change in accounting policy through retrospective
application on prior periods owing to the change in Administrator during the
year, hence the change was made prospectively as of the earliest date
practicable, 1 January 2021. Note that, following the change, there is no
effect on either the Company's net assets as at 31 December 2021 or net
increase/(decrease) in net assets resulting from operations for the year then
ended and the Directors are of the opinion that any retrospective application
of this change would not be material to the prior period reported results.

 

Dividends are recorded on the ex-dividend date and interest is recognised on
the accrual basis.

 

Withholding taxes on foreign dividends have been provided for in accordance
with the Company's understanding of the applicable country's rules and rates.

 

Offsetting of amounts related to certain contracts

 

Amounts due from and to brokers are presented on a net basis, by counterparty,
to the extent the Company has the legal right to offset the recognised amounts
and intends to settle on a net basis.

 

The Company has elected not to offset fair value amounts recognised for cash
collateral receivables and payables against fair value amounts recognised for
derivative positions executed with the same counterparty under the same master
netting arrangement. At 31 December 2021, the Company had cash collateral
receivables of US$12,228,870 (31 December 2020: US$5,191,837) (see Note 3)
with derivative counterparties under the same master netting arrangement.

 

Income taxes

 

The Company is exempt from taxation in Guernsey and is charged an annual
exemption fee of £1,200. The Company will only be liable to tax in Guernsey
in respect of income arising or accruing from a Guernsey source, other than
from a relevant bank deposit. It is not anticipated that such Guernsey source
taxable income will arise.

 

The Company is managed so as not to be resident in the UK for UK tax purposes
and as a foreign limited partnership for US tax purposes and provides full tax
reporting for its US shareholders.

 

The Company recognises tax benefits of uncertain tax positions only where the
position is more likely than not to be sustained assuming examination by a tax
authority based on the technical merits of the position. In evaluating whether
a tax position has met the recognition threshold, the Company must presume the
position will be examined by the appropriate taxing authority and that taxing
authority has full knowledge of all relevant information. A tax position
meeting the more likely than not recognition threshold is measured to
determine the amount of benefit to recognise in the Company's financial
statements. Income tax and related interest and penalties would be recognised
as a tax expense in the statement of operations if the tax position was deemed
to meet the more likely than not threshold.

 

The Investment Manager has analysed the Company's tax positions and has
concluded no liability for unrecognised tax benefits should be recorded in
relation to uncertain tax positions. Further, management is not aware of any
tax positions for which it is reasonably possible the total amounts of
unrecognised tax benefits will significantly change in the next twelve months.

 

Prior to re-domiciliation the Company did not record a provision for US
federal, state, or local income taxes because the participating members
reported their share of the Company's income or loss on their income tax
returns. The Company files an income tax return in the US federal
jurisdiction, and may have to file income tax returns in various US states and
foreign jurisdictions. Generally, the Company was subject to income tax
examinations by major taxing authorities for the tax period since inception.
Based on its analysis, the Company determined that it had not incurred any
liability for unrecognised tax benefits as of 31 December 2021 or 31 December
2020.

 

Use of estimates

 

Preparing financial statements in accordance with US GAAP requires management
to make estimates and assumptions in determining the reported amounts of
assets and liabilities, including the fair value of investments, and
disclosure of contingent assets and liabilities as of the date of the
financial statements and the reported amounts of income and expenses during
the reporting period. Actual results could differ from those estimates.

 

New accounting pronouncements

 

There were no new accounting pronouncements required to be adopted by the
Company during the year.

 

 

2.   Fair value measurements

 

The Company's assets and liabilities recorded at fair value have been
categorised based upon a fair value hierarchy as described in the Company's
significant accounting policies in Note 1.

 

The following table presents information about the Company's assets and
liabilities measured at fair value as of 31 December 2021:

                                                  Level 1      Level 2     Level 3     Investments measured at net asset value*  Total

                                                  US$          US$         US$                                                   US$

 Assets (at fair value)

                 Investments in securities
                 Common stocks                    249,490,511  16,001,524  1,943,967   -                                         267,436,002
                 Convertible preferred stocks     615,444      -           67,177,270  -                                         67,792,714
                 Exchange traded funds            32,097,322   -           -           -                                         32,097,322
                 Investment in private            -            -           -                                                     23,082,522

                 investment companies                                                  23,082,522
                 American depository receipts     18,047,224   -           -           -                                         18,047,224
                 Convertible bonds                -            -           723,723     -                                         723,723
                 Total investments in securities  300,250,501  16,001,524  69,844,960  23,082,522                                409,179,507
                 Derivative contracts
                 Equity swaps                     -            7,575,424   -           -                                         7,575,424
                 Warrants                         6,576        3,267,566   134,008     -                                         3,408,150
                 Total derivative contracts       6,576        10,842,990  134,008     -                                         10,983,574
                                                  300,257,077  26,844,514  69,978,968                                                            420,163,081

                                                                                       23,082,522

 Liabilities (at fair value)

                 Securities sold short
                 Common stocks                    8,844,744    -           -                                                     8,844,744
                 American depository receipts     473,649      -           -                                                     473,649
                 Total securities sold short      9,318,393    -           -                                                     9,318,393
                 Derivative contracts
                 Equity swaps                     -            3,310,833   -                                                     3,310,833
                 Total derivative contracts       -            3,310,833   -                                                     3,310,833
                                                  9,318,393    3,310,833   -                                                     12,629,226

 

* The Company's investment in private investment companies that are valued at
their net asset value are not categorized within the fair value hierarchy.

The following table presents information about the Company's assets and
liabilities measured at fair value as of 31 December 2020:

 

                                                  Level 1        Level 2                           Level 3                           Total

                                                  US$            US$                               US$                               US$

 Assets (at fair value)

                 Investments in securities
                 Common stocks                    307,923,358    34,091,286                        9,087,381                         351,102,025
                 Convertible preferred stocks     109,806        -                                 38,161,752                        38,271,558
                 American depository receipts     1,417,052      -                                 -                                 1,417,052
                 Total investments in securities  309,450,216    34,091,286                        47,249,133                        390,790,635

                 Derivative contracts
                 Warrants                         75,917         2,721,084                         133,983                           2,930,984
                 Equity swaps                     -              1,782,958                         -                                 1,782,958
                 Total derivative contracts       75,917         4,504,042                         133,983                           4,713,942
                                                   309,526,133    38,595,328                        47,383,116                        395,504,577

 Liabilities (at fair value)

                 Securities sold short
                 Common stocks                    6,507,323                      -                                 -                  6,507,323
                 American depository receipts     165,036        -                                 -                                 165,036
                 Total securities sold short      6,672,359      -                                 -                                 6,672,359

                 Derivative contracts
                 Equity swaps                     -              579,782                           -                                 579,782
                 Total derivative contracts       -              579,782                           -                                 579,782
                                                  6,672,359          579,782                                       -                     7,252,141

 

Transfers between Levels 2 and 3 generally relate to whether significant
relevant observable inputs are available for the fair value measurements in
their entirety. See Note 1 for additional information related to the fair
value hierarchy and valuation techniques and inputs. For the year ended 31
December 2021, the Company had transfers into Level 2 of US$9,064,760 from
Level 3 due to conversion into publicly traded common stocks subject to an
unexpired 180-day lock-up as at 31 December 2021 (2020: US$9,002,481) and
transfers into Level 1 of US$20,330,984 from Level 3 due to conversion into
publicly traded common stocks (2020: US$4,999,996). During the year ended 31
December 2021, US$8,210,689 (2020: US$nil) relating to investment companies
measured using NAV as a practical expedient and which are not categorized in
the fair value hierarchy, was transferred out of Level 3. Transfers between
levels are deemed to occur at year end.

 

The following tables summarise the valuation techniques and significant
unobservable inputs used for the Company's investments that are categorised
within Level 3 of the fair value hierarchy as of 31 December 2021 and 31
December 2020:

 

                                          Fair value at 31 December 2021                    Valuation techniques                           Significant unobservable inputs  Range of inputs

                                          US$
 Assets (at fair value)
 Investments in securities
                   Convertible preferred  60,740,530                                        Discounted cash flow;                          WACC                             16% - 38%

 stocks

                                                                                            Market approach
                                                                                            Market approach;                                Exit revenue multiple           3.0x - 4.0x

                                                                                                                                           expected volatility

                                                                                            and/or

                                                                                            and/or option pricing model

                                                                                                                                           Expected volatility              40% - 135%
                                                                                                                                           market up step multiple

                                                                                                                                                                            1.0x - 1.8x
                                          6,436,740                                         Price of most recent funding round             n/a                              n/a

                   Common stocks          844,280                                           Market approach;                               Expected volatility              60%

                                                                                            and/or

                                                                                            and/or option pricing m                        market step up multiple          1.1x - 1.7x

                                                                                             pricing modepricing mil
                                                                                            pricing model                                  multiple

                                                      1,099,687                             Price of most recent                           n/a                              n/a

                                                                                            Funding roundfunfunding round funding round
                                                                                            funding round

                   Convertible bonds      723,723                                           Price of most recent                           n/a                              n/a

                                                                                            funding round

 Total investments in securities          69,844,960

                   Derivative contracts
                   Warrants                           133,983                               Price of most recent                           n/a                              n/a

                                                                                            funding round

                                                              25                            Discounted cash flow;                          WACC                             38%

                                                                                            Market approach; and/or option pricing model   Exit revenue multiple            3.0x

                                                                                                                                           expected volatility

                                                                                                                                                                            45%
 Total derivative contracts               134,008

                                                 Fair value at 31 December 2020  Valuation techniques                          Significant unobservable inputs  Range of inputs

                                                 US$
 Assets (at fair value)
 Investments in securities
                   Convertible preferred stocks  20,777,728                      Price of most recent funding round            n/a                              n/a

                                                                                 Discounted cash flows, option pricing model

                                                 17,384,024                                                                    WACC                             28%-42%

                                                                                                                               Exit revenue multiple

                                                                                                                                                                4x

                                                                                                                               Expected volatility

                                                                                                                                                                50%-80%

                   Common stocks                   8,741,068                     Price of most recent funding round            n/a                              n/a

                                                                                 Discounted cash flows, option pricing model

                                                      346,313                                                                  Expected volatility              95%

 Total investments in securities                 47,249,133

                   Derivative contracts
                   Warrants                           133,983                    Price of most recent funding round            n/a                              n/a

 Total derivative contracts                           133,983

 

The significant unobservable inputs used in the fair value measurements of
Level 3 convertible preferred stocks are WACC, exit revenue multiple, and
expected volatility. Increases in the WACC in isolation would result in a
lower fair value for the security, and vice versa. Increases in the exit
multiple in isolation would result in a higher fair value of the security, and
vice versa. A change in volatility in isolation could result in a higher or
lower fair value for the security.

 

The table below presents additional information about Level 3 assets and
liabilities measured at fair value. Both observable and unobservable inputs
may be used to determine the fair value of positions that the Company has
classified within the Level 3 category. As a result, the unrealised gains and
losses for assets and liabilities within the Level 3 category may include
changes in fair value that were attributable to both observable and
unobservable inputs.

Changes in Level 3 assets and liabilities measured at fair value for the year
ended 31 December 2021 were as follows:

 

                                                Balance beginning 1 January 2021  Realised gains/ (losses)((a))  Change in Unrealised gains/ (losses)((a))  Purchases   Sales        Transfers into/(from) Level 3*  Ending balance 31 December 2021

                                                US$                               US$                            US$                                        US$         US$          US$                             US$
 Assets (at fair value)
               Investments in securities
               Convertible preferred stocks      38,161,752                       1,440,394                      13,226,721                                 46,075,180  (2,331,033)  (29,395,744)                    67,177,270
               Common stocks                    9,087,381                         -                              502,587                                    564,688     -            (8,210,689)                     1,943,967
               Convertible bonds                -                                 -                              -                                          723,723     -            -                               723,723
               Total investments in securities   47,249,133                       1,440,394                      13,729,308                                 47,363,591  (2,331,033)  (37,606,433)                    69,844,960

               Derivative contracts
               Warrants                                   133,983                 -                              1                                          24          -            -                               134,008
               Total derivative contracts                 133,983                  -                             1                                          24          -            -                               134,008

* Conversions of preferred stock into common stock.

 

Changes in Level 3 assets and liabilities measured at fair value for the year
ended 31 December 2020 were as follows:

 

                                                Balance beginning 1 January 2020      Realised gains/ (losses)((a))       Change in Unrealised gains/ (losses)((a))  Purchases         Sales                               Transfers into/(from) Level 3*            Ending balance 31 December 2020

                                                US$                                   US$                                 US$                                        US$               US$                                 US$                                       US$
 Assets (at fair value)
               Investments in securities
               Convertible preferred stocks      26,064,551                                            -                   (640,023)                                  28,972,718        (3,000,004)                         (13,235,490)                              38,161,752
               Convertible notes                -                                     -                                   -                                          762,640           -                                   (762,640)                                 -
               Common stocks                    -                                     -                                   125,210                                    8,966,519         -                                   (4,348)                                   9,087,381
               Total investments in securities   26,064,551                                            -                   (514,813)                                  38,701,877        (3,000,004)                         (14,002,478)                              47,249,133

               Derivative contracts
               Warrants                         -                                     -                                   -                                          133,983           -                                   -                                         133,983
               Total derivative contracts                         -                                    -                                 -                                133,983                       -                                      -                     133,983

* Conversions of preferred stock and convertible notes into common stock.

 

((a)) Realised and unrealised gains and losses are included in net realised
and change in unrealised gain/(loss) on investments, derivatives and foreign
currency transactions in the statement of operations.

Changes in Level 3 unrealised gains and losses during the year for assets
still held at year end were as follows:

 

                                                                                         2021        2020
                                                                                         US$         US$

 Convertible preferred stocks                                                            12,873,757  (640,023)
 Common stocks                                                                           497,966     125,210
 Change in unrealised gains and losses during the year for assets still held at          13,371,723  (514,813)
 year end

 

Total realised gains and losses and unrealised gains and losses in the
Company's investment in securities, derivative contracts and securities sold
short are made up of the following gain and loss elements:

 

                                                                                  2021          2020
                                                                                  US$           US$

 Realised gains                                                                   54,163,408    17,159,030
 Realised losses                                                                  (14,532,072)  (11,702,288)
 Net realised gain on securities, derivative contracts and securities sold        39,631,336    5,456,742
 short

 

 

                                                                                      2021           2020
                                                                                      US$            US$

 Change in unrealised gains                                                           106,379,343    218,626,449
 Change in unrealised losses                                                          (202,558,485)  (58,476,609)
 Net change in unrealised gain/(loss) on securities, derivative contracts and         (96,179,142)   160,149,840
 securities sold short

 

As at 31 December 2021, the Company had commitments (subject to completion of
certain parameters) to certain of its investments totaling US$2,358,325.

 

 

3.  Due to/from brokers

 

Due to/from brokers includes cash balances held with brokers and collateral on
derivative transactions. Amounts due from brokers may be restricted to the
extent that they serve as deposits for securities sold short or cash posted as
collateral for derivative contracts.

 

At 31 December 2021, amounts included within due from brokers of US$95,095 (31
December 2020: US$14,841,134) can be used for investment. The Company pledged
cash collateral to counterparties to over-the-counter derivative contracts of
US$12,228,870 (31 December 2020: US$5,191,837) which is included in due from
brokers.

 

In the normal course of business, substantially all of the Company's
securities transactions, money balances, and security positions are transacted
with the Company's prime brokers, Goldman Sachs & Co. LLC, Cowen Financial
Products, LLC, UBS AG, Bank of America Merrill Lynch, Morgan Stanley & Co.
LLC, Jeffries & Co. and J.P. Morgan Securities, LLC. The Company is
subject to credit risk to the extent any broker with which it conducts
business is unable to fulfil contractual obligations on its behalf. The
Company's management monitors the financial condition of such brokers and does
not anticipate any losses from these counterparties.

 

 

4.  Derivative contracts

 

In the normal course of business, the Company utilizes derivative contracts in
connection with its proprietary trading activities. Investments in derivative
contracts are subject to additional risks that can result in a loss of all or
part of an investment. The Company's derivative activities and exposure to
derivative contracts are classified by the primary underlying risk, equity
price risk and foreign currency exchange rate risk. In addition to its primary
underlying risk, the Company is also subject to additional counterparty risk
due to the inability of its counterparties to meet the terms of their
contracts.

 

Warrants

 

The Company may receive warrants from its portfolio companies upon an
investment in the debt or equity of a portfolio company. The warrants provide
the Company with exposure and potential gains upon equity appreciation of the
portfolio company's share price.

 

The value of a warrant has two components: time value and intrinsic value. A
warrant has a limited life and expires on a certain date. As time to the
expiration date of a warrant approaches, the time value of a warrant will
decline. In addition, if the stock underlying the warrant declines in price,
the intrinsic value of an "in the money" warrant will decline. Further, if the
price of the stock underlying the warrant does not exceed the strike price of
the warrant on the expiration date, the warrant will expire worthless. As a
result, there is the potential for the Company to lose its entire investment
in a warrant.

 

The Company is exposed to counterparty risk from the potential failure of an
issuer of warrants to settle its exercised warrants. The maximum risk of loss
from counterparty risk to the Company is the fair value of the contracts and
the purchase price of the warrants. The Company considers the effects of
counterparty risk when determining the fair value of its investments in
warrants.

 

Equity swap contracts

 

The Company is subject to equity price risk in the normal course of pursuing
its investment objectives. The Company may enter into equity swap contracts
either to manage its exposure to the market or certain sectors of the market,
or to create exposure to certain equities to which it is otherwise not
exposed.

 

Equity swap contracts involve the exchange by the Company and a counterparty
of their respective commitments to pay or receive a net amount based on the
change in the fair value of a particular security or index and a specified
notional amount.

 

Volume of derivative activities

 

The Company considers the average month-end notional amounts during the year,
categorised by primary underlying risk, to be representative of the volume of
its derivative activities during the year ended 31 December 2021:

 

                                  31 December 2021                                        31 December 2020
                                  Long exposure                 Short exposure            Long exposure                 Short exposure
 Primary underlying risk          Notional amounts US$          Notional amounts US$      Notional amounts US$          Notional amounts US$
 Equity price
 Equity swaps                     2,347,607                     -                         5,756,513                     7,117,933
 Warrants((a))                    9,031,998                     66,149,127                1,487,443                     -
                                  11,379,605                    66,149,127                7,243,956                     7,117,933

 

((a)) Notional amounts presented for warrants are based on the fair value of
the underlying shares as if the warrants were exercised at each respective
month end date.

 

Impact of derivatives on the statement of assets and liabilities and statement
of operations

 

The following tables identify the fair value amounts of derivative instruments
included in the statement of assets and liabilities as derivative contracts,
categorised by primary underlying risk, at 31 December 2021 and 31 December
2020. The following table also identifies the gain and loss amounts included
in the statement of operations as net realised gain/(loss) on derivative
contracts and net change in unrealised gain/(loss) on derivative contracts,
categorised by primary underlying risk, for the year ended 31 December 2021
and 31 December 2020.

 

                                 31 December 2021
 Primary underlying risk         Derivative assets       Derivative liabilities       Realised gain/(loss)       Change in unrealised gain/(loss)

                                 US$                     US$                          US$                        US$
 Equity price
 Equity swaps                    7,575,424               3,310,833                    (1,651,404)                3,061,415
 Warrants                        3,408,150               -                            2,443                      (125,397)
                                 10,983,574              3,310,833                    (1,648,961)                2,936,018

 

                                 31 December 2020
 Primary underlying risk         Derivative assets       Derivative liabilities       Realised gain/(loss)       Change in unrealised gain/(loss)

                                 US$                     US$                          US$                        US$
 Equity price
 Equity swaps                    1,782,958               579,782                      -                          1,185,485
 Warrants                        2,930,984               -                            (2,880,680)                (45,635)
                                 4,713,942               579,782                      (2,888,680)                1,139,850

 

 

5. Securities lending agreements

 

The Company has entered into securities lending agreements with its prime
brokers. From time to time, the prime brokers lend securities on the Company's
behalf. As of 31 December 2021 and 31 December 2020, no securities were loaned
and no collateral was received.

 

 

6. Offsetting assets and liabilities

 

The Company is required to disclose the impact of offsetting assets and
liabilities represented in the statement of assets and liabilities to enable
users of the financial statements to evaluate the effect or potential effect
of netting arrangements on its financial position for recognised assets and
liabilities. These recognised assets and liabilities are financial instruments
and derivative instruments that are either subject to an enforceable master
netting arrangement or similar agreement or meet the following right of setoff
criteria: the amounts owed by the Company to another party are determinable,
the Company has the right to offset the amounts owed with the amounts owed by
the other party, the Company intends to offset and the Company's right of
setoff are enforceable by law.

 

As of 31 December 2021 and 31 December 2020, the Company held financial
instruments and derivative instruments that were eligible for offset in the
statement of assets and liabilities and are subject to a master netting
arrangement. The master netting arrangement allows the counterparty to net
applicable collateral held on behalf of the Company against applicable
liabilities or payment obligations of the Company to the counterparty. These
arrangements also allow the counterparty to net any of its applicable
liabilities or payment obligations they have to the Company against any
collateral sent to the Company.

 

As discussed in Note 1, the Company has elected not to offset assets and
liabilities in the statement of assets and liabilities. The following table
presents the potential effect of netting arrangements for asset derivative
contracts presented in the statement of assets and liabilities:

 

                                                     Gross amounts of recognised assets  Gross amounts offset in the statement of assets and liabilities  Gross amounts of recognised assets and liabilities  31 December 2021                                                                Net amount

                                                                                                                                                                                                              Gross amounts not offset in the statement of assets and liabilities

 Description
                         Financial instruments((a))                                                                                                       Cash collateral received((b))
 Equity swaps
 Cowen Financial Products, LLC                       5,777,357                           -                                                                5,777,357                                                           (1,532,754)                     -                               4,244,603
 Bank of America Merrill Lynch                       1,396,737                           -                                                                1,396,737                                                           (1,190,091)                     -                               206,646
 Morgan Stanley & Co. LLC                            306,560                             -                                                                306,560                                                             (77,393)                        -                               229,167
 Jeffries & Co.                                      78,710                              -                                                                78,710                                                              (78,710)                        -                               -
 UBS AG                                              16,060                              -                                                                16,060                                                              (16,060)                        -                               -
                                                     7,575,424                           -                                                                7,575,424                                                           (2,895,008)                     -                               4,680,416

 

                                   Gross amounts of recognised assets  Gross amounts offset in the statement of assets and liabilities  Gross                      31 December 2020

                                                                                                                                        amounts of                 Gross amounts not offset in the statement of assets and liabilities

                                                                                                                                        recognised

                                                                                                                                         assets and liabilities                                                                                                   Net amount

 Description
                                   Financial instruments((a))                                                                                                                      Cash collateral received((b))
 Equity swaps
 Cowen Financial Products, LLC     1,487,760                           -                                                                1,487,760                                  (296,372)                                      -

                                                                                                                                                                                                                                                                  1,191,388
 UBS AG                            323,371                             -                                                                323,371                                    (60,876)                                       -                               262,495
 Bank of America Merrill Lynch     32,659                              -                                                                32,659                                     (32,659)                                       -

                                                                                                                                                                                                                                                                  -
                                   1,843,790                                                                                            1,843,790                                  (389,907)                                      -                               1,453,883

 

((a)) Amounts related to master netting agreements (e.g. ISDA), determined by
the Company to be legally enforceable in the event of default and if certain
other criteria are met in accordance with applicable offsetting accounting
guidance but were not offset due to management's accounting policy election.

( )

((b)) Amounts related to master netting agreements and collateral agreements
determined by the Company to be legally enforceable in the event of default,
but certain other criteria are not met in accordance with applicable
offsetting accounting guidance. The collateral amounts may exceed the related
net amounts of financial assets and liabilities presented in the statement of
assets and liabilities. If this is the case, the total amount reported is
limited to the net amounts of financial assets and liabilities with that
counterparty.

 

The following tables present the potential effect of netting arrangements for
liability derivative contracts presented in the statement of assets and
liabilities as of 31 December 2021 and 31 December 2020:

 

                                   Gross amounts of recognised liabilities  Gross amounts offset in the statement of assets and liabilities  Gross amounts of recognised liabilities  31 December 2021                                                                              Net amount

                                                                                                                                                                                      Gross amounts not offset in the statement of assets and liabilities

 Description
                                   Financial instruments((a))                                                                                                                                         Cash collateral pledged((b))
 Equity swaps
 Cowen Financial Products, LLC     1,532,754                                -                                                                1,532,754                                                (1,532,754)                                   -                               -
 Bank of America Merrill Lynch     1,190,091                                -                                                                1,190,091                                                (1,190,091)                                   -                               -
 Jeffries & Co.                    406,977                                  -                                                                406,977                                                  (78,710)                                      (328,267)                       -
 UBS AG                            103,618                                  -                                                                103,618                                                  (16,060)                                      (87,558)                        -
 Morgan Stanley & Co. LLC          77,393                                   -                                                                77,393                                                   (77,393)                                      -                               -
                                   3,310,833                                -                                                                3,310,833                                                (2,895,008)                                   (415,825)                       -

 

 

                                   Gross amounts of recognised liabilities  Gross amounts offset in the statement of assets and liabilities  Gross amounts of recognised liabilities  31 December 2020                                                                              Net amount

                                                                                                                                                                                      Gross amounts not offset in the statement of assets and liabilities

 Description
                                   Financial instruments((a))                                                                                                                                         Cash collateral pledged((b))
 Equity swaps
 Cowen Financial Products, LLC     296,372                                  -                                                                296,372                                                  (296,372)                                     -                               -
 UBS AG                            60,876                                   -                                                                60,876                                                   (60,876)                                      -                               -
 Bank of America Merrill Lynch     284,370                                  -                                                                284,370                                                  (32,659)                                      -                               251,711
                                   641,618                                  -                                                                641,618                                                  (389,907)                                     -                               251,711

 

 

((a)) Amounts related to master netting agreements (e.g. ISDA), determined by
the Company to be legally enforceable in the event of default and if certain
other criteria are met in accordance with applicable offsetting accounting
guidance but were not offset due to management's accounting policy election.

 

((b)) Amounts related to master netting agreements and collateral agreements
determined by the Company to be legally enforceable in the event of default,
but certain other criteria are not met in accordance with applicable
offsetting accounting guidance. The collateral amounts may exceed the related
net amounts of financial assets and liabilities presented in the statement of
assets and liabilities. If this is the case, the total amount reported is
limited to the net amounts of financial assets and liabilities with that
counterparty.

 

 

7. Securities sold short

 

The Company is subject to certain inherent risks arising from its investing
activities of selling securities short. The ultimate cost to the Company to
acquire these securities may exceed the liability reflected in these financial
statements.

 

 

8. Risk factors

 

Some underlying investments may be deemed to be a highly speculative
investment and are not intended as a complete investment program. The Company
is designed only for sophisticated persons who are able to bear the economic
risk of the loss of their entire investment in the Company and who have a
limited need for liquidity in their investment. The following risks are
applicable to the Company:

 

Market risk

 

Certain events particular to each market in which Portfolio Companies conduct
operations, as well as general economic and political conditions, may have a
significant negative impact on the operations and profitability of the
Company's investments and/or on the fair value of the Company's investments.
Such events are beyond the Company's control, and the likelihood they may
occur and the effect on the Company cannot be predicted. The Company intends
to mitigate market risk generally by investing in LifeSci Companies in various
geographies.

 

Portfolio Company products are subject to regulatory approvals and actions
with new drugs, medical devices and procedures being subject to extensive
regulatory scrutiny before approval, and approvals can be revoked.

 

The market value of the Company's holdings in public Portfolio Companies could
be affected by a number of factors, including, but not limited to; a change in
sentiment in the market regarding the public Portfolio Companies, the market's
appetite for specific asset classes, and the financial or operational
performance of the public Portfolio Companies.

 

The size of investments in public Portfolio Companies or involvement in
management may trigger restrictions on buying or selling securities. Laws and
regulations relating to takeovers and inside information may restrict the
ability of the Company to carry out transactions, or there may be delays or
disclosure requirements before transactions can be completed.

 

Equity prices and returns from investing in equity markets are sensitive to
various factors, including but not limited to; expectations of future
dividends and profits, economic growth, exchange rates, interest rates, and
inflation.

 

Biotech/healthcare companies

 

The Portfolio Companies are biotechnology companies. Biotech companies are
generally subject to greater governmental regulation than other industries at
both the state and federal levels. Changes in governmental policies may have a
material effect on the demand for or costs of certain products and services.

 

Any failure by a Portfolio Company to develop new technologies or to
accurately evaluate the technical or commercial prospects of new technologies
could result in it failing to achieve a growth in value and this could have a
material adverse effect on the Company's financial condition.

 

Portfolio Companies may not successfully translate promising scientific theory
into a commercially viable business opportunity. Further, the Companies'
therapies in development may fail clinical trials and therefore no longer be
viable.

 

Portfolio Company products are subject to intense competition and there are
many factors that will affect whether the new therapies released by the
Portfolio Companies gain market share against competitors and existing
therapies.

 

Portfolio Companies may be newer small and mid-size LifeSci Companies. These
companies may be more volatile and have less experience and fewer resources
than more established companies.

 

Concentration risk

 

The Company may not make an investment or a series of investments in a
Portfolio Company that result in the Company's aggregate investment in such
Portfolio Company exceeding 15 per cent. of the Company's gross assets, save
for Rocket for which the limit will be 25 per cent. as stated in the Company's
prospectus. Each of these investment restrictions will be calculated as at the
time of investment. As such, it is possible that the Company's portfolio may
be concentrated at any given point in time, potentially with more than 15 per
cent. of gross assets held in one Portfolio Company as Portfolio Companies
increase or decrease in value following such initial investment. The Company's
portfolio of investments may also lack diversification among LifeSci Companies
and related investments.

 

Concentration of credit risk

 

In the normal course of business, the Company maintains its cash balances in
financial institutions, which at times may exceed US federal or UK insured
limits, as applicable. The Company is subject to credit risk to the extent any
financial institution with which it conducts business is unable to fulfil
contractual obligations on its behalf. Management monitors the financial
condition of such financial institutions and does not anticipate any losses
from these counterparties.

 

Counterparty risk

 

The Company invests in equity swaps and takes the risk of non-performance by
the other party to the contract. This risk may include credit risk of the
counterparty, the risk of settlement default, and generally, the risk of the
inability of counterparties to perform with respect to transactions, whether
due to insolvency, bankruptcy or other causes.

 

In an effort to mitigate such risks, the Company will attempt to limit its
transactions to counterparties which are established, well capitalised and
creditworthy.

 

Liquidity risk

 

Liquidity risk is the risk that the Company cannot meet its financial
commitments as they fall due. The Company's unquoted investments may have
limited or no secondary market liquidity so the Investment Manager maintains a
sufficient balance of cash and market quoted securities which can be sold if
needed to meet its commitments.

 

The Company's investments in quoted securities may also be subject to sale
restrictions on listing and when the Investment Manager is subject to close
periods or privy to confidential information by virtue of their active
involvement in the management of portfolio companies.

 

Derivative transactions may not be liquid in all circumstances, such that in
volatile markets it may not be possible to close out a position without
incurring a loss. The illiquidity of the derivatives markets may be due to
various factors, including congestion, disorderly markets, limitations on
deliverable supplies, the participation of speculators, government regulation
and intervention, and technical and operational or system failures.

 

Foreign exchange risk

 

The Company will make investments in various jurisdictions in a number of
currencies and will be exposed to the risk of currency fluctuations that may
materially adversely affect, amongst other things, the value of the Portfolio
Company or the Company's investment in such Portfolio Company, or any
distributions received from the Portfolio Company. Under its investment
policy, the Company does not intend to enter into any securities or
financially engineered products designed to hedge portfolio exposure or
mitigate portfolio risk as a core part of its investment strategy.

 

 

9. Share capital

 

During the year the Company issued 20,873,403 Ordinary Shares, as follows:

 

                                          2021              2020

                                          Number of         Number of    Ordinary Shares

                                          Ordinary Shares

 As at 1 January                          191,515,735       161,544,695
 Issuance of Ordinary Shares              20,873,403        29,971,040
 As at  31 December                       212,389,138       191,515,735

 

Ordinary Shares carry the right to receive all income of the Company
attributable to the Ordinary Shares and to participate in any distribution of
such income made by the Company. Such income shall be divided pari passu among
the holders of Ordinary Shares in proportion to the number of Ordinary Shares
held by them.

 

Ordinary Shares shall carry the right to receive notice of and attend and vote
at any general meeting of the Company, and at any such meeting on a show of
hands, every holder of Ordinary Shares present in person (includes present by
attorney or by proxy or, in the case of a corporate member, by duly authorised
corporate representative) and entitled to vote shall have one vote, and on a
poll, subject to any special voting powers or restrictions, every holder of
Ordinary Shares present in person or by proxy shall be entitled to one vote
for each Ordinary Share, or fraction of an Ordinary Share, held.

 

The Performance Allocation Amount will be allocated to the Performance
Allocation Share Class Fund. All Performance Allocation Shares are held by RTW
Venture Performance, LLC. As at 31 December 2021, there is one Performance
Allocation Share in issue (31 December 2020: one).

 

Performance Allocation Shares shall carry the right to receive, and
participate in, any dividends or other distributions of the Company available
for dividend or distribution. Performance Allocation Shares shall not be
entitled to receive notice of, to attend or to vote at general meetings of the
Company.

 

Management Shares shall not be entitled to receive, and participate in, any
dividends or other distributions of the Company available for dividend or
distribution. Management Shares shall be entitled to receive notice of, to
attend or to vote at general meetings of the Company. Upon admission the
Management shares of the Company were compulsorily redeemed by the Directors
for nil consideration.

 

For all share classes, subject to compliance with the solvency test set out in
the Companies Law, the Board may declare and pay such annual or interim
dividends and distributions as appear to be justified by the position of the
Company. The Board may, in relation to any dividend or distribution, direct
that the dividend or distribution shall be satisfied wholly or partly by the
distribution of assets, and in particular of paid up shares or reserves of any
nature as approved by the Company.

 

 

10.        Related party transactions

 

Management Fee

 

The Investment Manager receives a monthly management fee, in advance, as of
the beginning of each month in an amount equal to 0.104% (1.25% per annum) of
the net assets of the Company (the "Management Fee"). For purposes of
determining the Management Fee, private investments will be valued at the fair
value. The Management Fee will be prorated for any period that is less than a
full month. The Management Fees charged for the year amounted to US$4,813,854
(31 December 2020: US$2,912,850) of which US$nil (31 December 2020: US$nil)
was outstanding at the year end.

 

Performance Allocation

 

The Articles provide that in respect of each Performance Allocation Period,
the Performance Allocation Amount shall be allocated to the Performance
Allocation Share Class Fund, subject to the satisfaction of a hurdle
condition.

 

The Performance Allocation Amount relating to the Performance Allocation
Period is an amount equal to:

 

((A-B) x C) x 20 per cent.

where:

A          is the Adjusted Net Asset Value per Ordinary Share on the
Calculation Date, adjusted by:

adding back (i) the total net Distributions (if any) per Ordinary Share
(whether paid, or declared but not yet paid) during the Performance Allocation
Period; and (ii) any accrual for the Performance Allocation for the current
Performance Allocation Period reflected in the Net Asset Value per Ordinary
Share; and deducting any accretion in the Net Asset Value per Ordinary Share
resulting from either the issuance of Ordinary Shares at a premium or the
repurchase or redemption of Ordinary Shares at a discount during the
Performance Allocation Period;

B          is the Adjusted Net Asset Value per Ordinary Share at the
start of the Performance Allocation Period; and

C         is the time weighted average number of Ordinary Shares in
issue during the Performance Allocation Period.

 

The Hurdle Amount represents an 8 per cent. annualised compounded rate of
return in respect of the Adjusted Net Asset Value per Ordinary Share from the
start of the initial Performance Allocation Period through the then current
Performance Allocation Period.

 

The Performance Allocation Share Class Fund can elect to receive the
Performance Allocation Amount in Ordinary Shares; cash; or a mixture of the
two, subject to a minimum 50% as Ordinary Shares. The Performance Allocation
Share Class Fund entered into a letter agreement dated 21 April 2020, pursuant
to which the Performance Allocation Share Class Fund agreed to defer
distributions of the Company's Ordinary Shares that would otherwise be
distributed to the Performance Allocation Share Class Fund no later than 30
business days after the publication of the Company's audited annual financial
statements. Under that letter agreement, such Ordinary Shares shall be
distributed to the Performance Allocation Share Class Fund at such time or
times as determined by the Board of Directors of the Company.

 

The Company will increase or decrease the amount owed to the Performance
Allocation Share Class Fund based on its investment exposure to the Company's
performance had such Performance Ordinary Shares been so issued. The
Performance Allocation Amount for the year ended 31 December 2021 includes the
residual, undistributed Performance Allocation Amounts from prior years that
were previously converted into a total of 14,228,208 Notional Ordinary Shares.
These Notional Ordinary Shares are subject to market risk alongside the
Ordinary Shares and incurred a mark-to-market loss of US$3,559,670 in 2021.
Additionally, there was a reallocation of the uncrystallized performance
allocation back to Ordinary Shareholders of US$4,475,709 related to the
Company's performance in the year. Together with the Notional Ordinary Shares
mark-to-market loss of US$3,559,670, the total period to date performance
allocation reversal is US$8,035,379, which is incorporated into the value of
the 31 December 2021 Performance Allocation balance of US$24,320,504.

 

Until the Company makes a distribution of Ordinary Shares to the Performance
Allocation Share Class Fund, the Company will have an unsecured discretionary
obligation to make such distribution at such time or times as the Board of
Directors of the Company determines. RTW Venture Performance, LLC has agreed
to the deferral of the distributions of the Company's Ordinary Shares in
connection with its own tax planning. The Company does not believe that the
deferral of such distributions to the Performance Allocation Share Class Fund
will have any negative effects on holders of the Company's Ordinary Shares.

 

The Investment Manager is a member of the Performance Allocation Share Class
Fund, and will therefore receive a proportion of the Performance Allocation
Amount. In May 2021, the Board approved a cash distribution of US$4,974,920 to
the Performance Allocation Share Class Fund (31 December 2020: US$4,147,980).
At the year end the Performance Allocation was US$24,320,504 (31 December
2020: US$37,330,803).

 

The Investment Manager is also refunded any research costs incurred on behalf
of the Company.

 

One of the Directors of the Company, Stephanie Sirota, is also a partner and
the Chief Business Officer of the Investment Manager. The following table
represents the number of related parties who served on the board of directors
of investments held by the Company during the year ended 31 December 2021 and
31 December 2020:

 

 Investments           Partners  Employees
 Rocket                Two((a))  One
 HSAC2 Holdings II     Two((a))  One
 Ji Xing               One((b))  One
 RTW Royalty (#1)      -         One
 RTW Royalty (#2)      -         One
 Yarrow Biotechnology  One((b))  One

 

((a))Roderick Wong, Naveen Yalamanchi

((b))Roderick Wong

 

As at 31 December 2021, the number of Ordinary Shares held by each Director
was as follows:

 

                           2021                        2020

                           Number of Ordinary Shares   Number of Ordinary Shares

 William Simpson           150,000                     100,000
 Paul Le Page              103,000                     103,000
 William Scott             150,000                     100,000
 Stephanie Sirota          1,000,000                   763,004

 

William Simpson added to his holding during the year by purchasing 50,000
Ordinary Shares in the Company's share issuance programme at a premium to NAV.
Stephanie Sirota added to her holding during the year by purchasing 236,996
Ordinary Shares in the Company's share issuance programme at a premium to NAV.
William Scott added to his holding during the year by purchasing 50,000
Ordinary Shares in the Company's share issuance programme at a premium to NAV.

 

Roderick Wong is a major shareholder and also a member of the Investment
Manager. As at 31 December 2021, he held 29,218,773 (13.76% of the Ordinary
Shares in issue) (31 December 2020: 27,286,368, 14.25% of the Ordinary Shares
in issue) Ordinary Shares in the Company.

 

The total Directors' fees expense for the year amounted to US$214,353 (31
December 2020: US$220,875) of which US$52,761 was outstanding at 31 December
2021 (31 December 2020: US$53,136), included within accrued expenses.

 

 

11. Administrative services

 

On 1 February 2021, Elysium Fund Management Limited ("EFML") was appointed as
Administrator, taking over the administration, corporate secretarial,
corporate governance and compliance services from Ocorian Administration
(Guernsey) Limited ("OAGL"). Further, from 1 February 2021 Morgan Stanley Fund
Services USA LLC ("MSFS") was appointed to serve as the Company's
Sub-Administrator.

 

During the year EFML and MSFS charged administration fees of US$107,767 and
US$223,067 respectively (2020: OAGL charged US$233,459) of which US$8,396 and
US$76,053 (2020: US$51,947 was outstanding to OAGL) was outstanding at 31
December 2021, and is included within accrued expenses.

 

 

12. Financial highlights

 

Financial highlights for the year ended 31 December 2021 and 31 December 2020
are as follows:

 

                                                                                     2021               2020
 Per Ordinary Share operating performance
 Net Asset Value, beginning of year                                                 US$ 1.96            US$ 1.27
 Issuance of Ordinary Shares                                                        0.02                0.02
 Income from investments
 Net investment income/(loss)                                                       (0.04)              (0.03)
 Net realised and unrealised gain/(loss) on investments, derivatives and            (0.23)              0.70
 foreign currency transactions
 Total from investment operations                                                   (0.27)              0.67
 Net Asset Value, end of year                                                       US$      1.71       US$ 1.96

 Total return
 Total return before Performance Allocation                                         (15.35)%            62.35%
 Performance Allocation                                                             2.58%               (8.46)%
 Total return after Performance Allocation                                          (12.77)%             53.89%

 Ratios to average net assets*
 Expenses                                                                           2.22%               2.11%
 Performance Allocation                                                             (2.11)%             13.56%
 Expenses and Performance Allocation                                                0.11%               15.67%

 Net investment income/(loss)                                                       (2.04)%             (2.05)%

 NAV total return for the year                                                      (15.35)%            62.35%

*The Company's annualised ongoing charges ratio is 1.78%, calculated in
accordance with the AIC recommended methodology, which excludes non-recurring
costs and uses the average NAV in its calculation.

 

Financial highlights are calculated for Ordinary Shares. An individual
shareholder's financial highlights may vary based on participation in new
issues, different Performance Allocation arrangements, and the timing of
capital share transactions. Net investment income/loss does not reflect the
effects of the Performance Allocation.

 

 

13. Subsequent events

 

On 6 January 2022, CinCor announced pricing of its US$193.6 million IPO, by
offering 12.1 million shares at US$16.00 per share. The shares began trading
on Nasdaq Global Market on 7 January 2022 under ticker "CINC".

 

These financial statements were approved by the Board of Directors and
available for issuance on 30 March 2022. Subsequent events have been evaluated
through this date.

General Company Information - Investment Objective and Investment Policy

 

The Company

RTW Venture Fund Limited is a company that was incorporated as a limited
liability corporation in the State of Delaware, United States of America on 16
February 2017, with the name "RTW Special Purpose Fund I, LLC", and
re-domiciled into Guernsey under the Companies Law on 2 October 2019 with
registration number 66847 on the Guernsey Register of Companies.

The Company is registered with the Guernsey Financial Services Commission
("GFSC") as a Registered Closed-ended Collective Investment Scheme and is an
investment company limited by shares. The registered office of the Company is
1(st) Floor, Royal Chambers, St Julian's Avenue, St Peter Port, Guernsey, GY1
3JX.

On 30 October 2019, the issued Ordinary Shares of the Company were listed and
admitted to trading on the Specialist Fund Segment of the Main Market of the
London Stock Exchange. The ISIN of the Company's Ordinary Shares is
GG00BKTRRM22 and trades under the ticker symbol "RTW" and "RTWG".

The Company's Ordinary Shares were admitted to trading on the Premium Segment
of the London Stock Exchange with effect from 6 August 2021.

 

Investment Objective

The Company seeks to achieve positive absolute performance and superior
long-term capital appreciation, with a focus on forming, building, and
supporting world-class life sciences, biopharmaceutical and medical technology
companies. It intends to create a diversified portfolio of investments across
a range of businesses, each pursuing the development of superior
pharmacological or medical therapeutic assets to enhance the quality of life
and/or extend patient life.

 

Investment Policy

The Company seeks to achieve its investment objective by leveraging RTW
Investments, LP's (the "Investment Manager") data-driven proprietary pipeline
of innovative assets to invest in life sciences Companies:

·      across various geographies (globally);

·      across various therapeutic categories and product types
(including but not limited to genetic medicines, biologics, traditional
modalities such as small molecule pharmaceuticals and antibodies, and medical
devices);

·      in both a passive and active capacity and intends, from time to
time, to take a controlling or majority position with active involvement in a
Portfolio Company to assist and influence its management. In those
situations, it is expected that the Investment Manager's senior executives may
serve in temporary executive capacities; and

·      by participation in opportunities created by the Investment
Manager's formation of companies de novo when a significant unmet need has
been identified and the Company is able to build a differentiated, sustainable
business to address said unmet need.

 

The Company expects to invest approximately 80% of its gross in the
biopharmaceutical sector and approximately 20% of its gross assets in the
medical technology sector.

 

The Company's portfolio will reflect its view of the most compelling
opportunities available to the Investment Manager, with an initial investment
in each privately held Portfolio Company ("Private Portfolio Company")
expected to start in a low single digit per cent. of the Company's gross
assets and grow over time, as the Company may, if applicable, participate in
follow-on investments and/or continue holding the Portfolio Company as it
becomes publicly-traded. It is intended certain long-term holds will increase
in size and may represent between five and ten per cent. or greater of the
Company's gross assets.

 

The Company anticipates deploying one-third of its capital toward early-stage
and de novo company formations (including newly formed entities around
early-stage academic licenses and commercial stage corporate assets) and
two-thirds of its capital in mid- to late-stage ventures.

 

The Company may choose to invest in Portfolio Companies listed on a public
stock exchange ("Public Portfolio Companies") depending on market conditions
and the availability of appropriate investment opportunities. Equally, as part
of a full-life cycle investment approach, it is expected that Private
Portfolio Companies may later become Public Portfolio Companies. Monetisation
events such as IPOs and reverse mergers will not necessarily represent exit
opportunities for the Company. Rather, the Company may decide to retain all or
some of its investment in such Portfolio Companies or the acquiring Company
where they meet the standard of diligence set by the Investment Manager. The
Company is not required to allocate a specific percentage of its assets to
Private Portfolio Companies or Public Portfolio Companies.

 

The Company also intends, where appropriate, to invest further in its
Portfolio Companies, supporting existing investments throughout their
lifecycle. The Company may divest its interest in Portfolio Companies in part
or in full when the risk-reward trade-off is deemed to be less favourable.

 

From time to time, the Company may seek opportunities to optimise investing
conditions, and to allow for such circumstances, the Company will have the
ability to hedge or enter into securities or derivative structures in order to
enhance the risk-reward position of the portfolio and its underlying
securities.

 

Investment restrictions

The Company will be subject to the following restrictions when making
investments in accordance with its investment policy:

•    the Company may not make an investment or a series of investments in
a Portfolio Company that result in the Company's aggregate investment in such
Portfolio Company exceeding 15% (or, in the case of Rocket Pharmaceuticals,
Inc., 25%) of the Company's gross assets at the time of each such investment;

•    the Company may not make any direct investment in any tobacco
company and not knowingly make or continue to hold any Public Portfolio
Company investments that would result in exposure to tobacco companies
exceeding one per cent. of the aggregate value of the Public Portfolio
Companies from time to time.

 

Each of these investment restrictions will be calculated as at the time of
investment. In the event that any of the above limits are breached at any
point after the relevant investment has been made (for instance, upon
successful realisation of economic and/or scientific milestones or as a result
of any movements in the value of the Company's gross assets), there will be no
requirement to sell or otherwise dispose of any investment (in whole or in
part).

 

Leverage and borrowing limits

The Company may use conservative leverage in the future in order to enhance
returns and maximise the growth of its portfolio, as well as for working
capital purposes, up to a maximum of 50% of the Company's net asset value at
the time of incurrence. Any other decision to incur indebtedness may be taken
by the Investment Manager for reasons and within such parameters as are
approved by the Board. There are no limitations placed on indebtedness
incurred in the Company's underlying investments.

 

Capital deployment

The Company anticipates that it will initially, upon Admission and upon any
subsequent capital raises, invest up to 80% of available cash in Public
Portfolio Companies that have been diligenced by the Investment Manager and
represent holdings in other portfolios managed by the Investment Manager,
subsequently rebalancing the portfolio between Public Portfolio Companies and
Private Portfolio Companies as opportunities to invest in the latter become
available.

 

Cash management

The Company's uninvested capital may be invested in cash instruments or bank
deposits pending investment in Portfolio Companies or used for working capital
purposes.

 

Hedging

As described above, the Company may seek opportunities to optimise investing
conditions, and to allow for such circumstances, there will be no limitations
placed on the Company's ability to hedge or enter into securities or
derivative structures in order to enhance the risk-reward position of the
portfolio and its underlying securities.

 

On an ongoing basis, the Company does not intend to enter into any securities
or financially engineered products designed to hedge portfolio exposure or
mitigate portfolio risk as a core part of its investment strategy, but may
enter into hedging transactions to hedge individual positions or reduce
volatility related to specific risks such as fluctuations in foreign exchange
rates, interest rates, and other market forces.

 

 

Glossary (unaudited)

Defined Terms

 

 "Adjusted Net Asset Value"                      the NAV adjusted by deducting the unrealised gains and unrealised losses in
                                                 respect of private Portfolio Companies;

 "Acelyrin"                                      Acelyrin. Inc.;

 "Administrator"                                 means Elysium Fund Management Limited;

 "AIC"                                           the Association of Investment Companies;

 "AIC Code"                                      the AIC Code of Corporate Governance dated February 2019;

 "AIFM"                                          means Alternative Investment Fund Manager;

 "AIFMD"                                         the Alternative Investment Fund Managers Directive;

 "Alcyone"                                       Alcyone Therapeutics, Inc.;

 "Ancora"                                        Ancora Heart, Inc.;

 "Annual General Meeting" or "AGM"               the annual general meeting of the shareholders of the Company;

 "Annual Report"                                 the Annual Report and audited financial statements;

 "Antibody"                                      a large Y-shaped blood protein that can stick to the surface of a virus,
                                                 bacteria, or receptor on a cell;

 "Antibody-Oligonucleotide Conjugates" or "AOC"  molecules that combine structures of an antibody and an oligo;

 "Artios"                                        Artios Pharma, Inc.;

 "Artiva"                                        Artiva Biotherapeutics, Inc.;

 "Athira"                                        Athira Pharma, Inc.;

 "Autoimmune diseases"                           conditions, where the immune system mistakenly attacks a body tissue;

 "Avidity"                                       Avidity Biosciences, Inc.;

 "Beta Bionics"                                  Beta Bionics, Inc.;

 "Biomea"                                        Biomea Fusion, Inc.;

 "BLA" or "Biological License Application"       a request for permission to introduce, or deliver for introduction, a biologic
                                                 product into interstate commerce;

 "C4 Therapeutics" or "C4T"                      C4 Therapeutics, Inc.;

 "Cardiac myosin"                                a target of the treatment development for a cardiovascular condition;

 "Cardiovascular disease"                        conditions affecting heart and vascular system;

 "CinCor"                                        CinCor Pharma, Inc.;

 "Clinical stage" or "clinical trial"            a therapy in development goes through a number of clinical trials to ensure
                                                 its safety and efficacy. The trials in human subjects range from Phase 1 to
                                                 Phase 3. All studies done prior to clinical testing in human subjects are
                                                 considered preclinical;

 "Companies Law"                                 the Companies (Guernsey) Law, 2008 (as amended);

 "Company" or "RTW Venture Fund Limited"         RTW Venture Fund Limited is a company incorporated in and controlled from
                                                 Guernsey as a close-ended Investment Company. The Company has an unlimited
                                                 life and is registered with the GFSC as a Registered Closed-ended Collective
                                                 Investment Scheme. The registered office of the Company is 1(st) Floor, Royal
                                                 Chambers, St Julian's Avenue, St Peter Port, Guernsey, GY1 3JX;

 "Company's Articles"                            means the Company's Articles of Incorporation;

 "Corporate Brokers"                             being Barclays and J.P. Morgan Cazenove, until February 2022, when BofA
                                                 Securities was appointed and Barclays ceased to act for the Company;

 "Crohn's Disease"                               a condition, in which a part(s) of digestive tract is inflamed;

 "CRS"                                           Common Reporting Standard;

 "Danon Disease"                                 a rare genetic heart condition in children, predominantly boys;

 "Directors" or "Board"                          the directors of the Company as at the date of this document, or who served
                                                 during the reporting period, and "Director" means any one of them;

 "Dravet Syndrome"                               a type of rare paediatric epilepsy;

 "DTR"                                           Disclosure Guidance and Transparency Rules of the UK's FCA;

 "Encoded"                                       Encoded Therapeutics, Inc.;

 "EU" or "European Union"                        the European Union first established by the treaty made at Maastricht on 7
                                                 February 1992;

 "Fanconi Anemia"                                a rare genetic blood condition in young children;

 "FATCA"                                         the Foreign Account Tax Compliance Act;

 "FCA"                                           the Financial Conduct Authority;

 "FCA Rules"                                     the rules or regulations issued or promulgated by the FCA from time to time
                                                 and for the time being in force (as varied by any waiver or modification
                                                 granted, or guidance given, by the FCA);

 "FDA"                                           the US Food and Drug Administration;

 "FDA Breakthrough Device Designation"           a process designed to facilitate the development and expedite the review of
                                                 the device that provides a more effective treatment or diagnosis of
                                                 life-threatening or irreversibly debilitating human disease or conditions;

 "FDA Breakthrough Drug Designation"             a process designed to expedite the development and review of drugs which may
                                                 demonstrate substantial improvement over available therapy;

 "FDA Fast Track designation"                    a process designed to facilitate the development and expedite the review of
                                                 drugs to treat serious conditions and fill an unmet medical need;

 "FRC"                                           the Financial Reporting Council;

 "Gene therapy"                                  a biotechnology that uses gene delivery systems to treat or prevent a disease;

 "Genetic Medicine"                              an approach to treat or prevent a disease using gene therapy or RNA medicines;

 "GFSC"                                          the Guernsey Financial Services Commission;

 "GFSC Code"                                     the GFSC Finance Sector Code of Corporate Governance as amended February 2016;

 "GH Research"                                   GH Research PLC;

 "HCM" or "Hypertrophic cardiomyopathy"          a cardiovascular disease characterized by an abnormally thick heart muscle;

 "Immunocore"                                    Immunocore Limited;

 "InBrace"                                       InBrace or Swift Health, Inc.;

 "Independent Valuer"                            Alvarez & Marsal Valuation Services, LLC;

 "Infantile Malignant Osteopetrosis" or "IMO"    a rare genetic bone disease in young children, manifesting in an increased
                                                 bone density;

 "Inivata"                                       Inivata Ltd;

 "Interim Report"                                the interim (half-yearly) report and financial statements;

 "Investigational New Drug" or "IND"             the FDA's investigational New Drug program is the means by which a
                                                 pharmaceutical company obtains permission to start human clinical trials;

 "Investment Manager"                            RTW Investments, LP, also referred to as RTW;

 "IPEV Guidelines"                               the International Private Equity and Venture Capital Valuation Guidelines;

 "IPO"                                           an initial public offering;

 "IRR"                                           internal rate of return;

 "ISDA"                                          International Swaps and Derivatives Association;

 "iTeos"                                         iTeos Therapeutics, Inc.;

 "JIXING"                                        Ji Xing Pharmaceuticals, formerly China New Co;

 "Kyverna"                                       Kyverna Therapeutics, Inc.;

 "Landos"                                        Landos Biopharma, Inc.;

 "Lentiviral vector or "LVV"                     based gene therapy - a type of viral vector used to deliver a gene;

 "Leukocyte adhesion deficiency" or "LAD-I"      a rare genetic disorder of immunodeficiency in young children;

 "LifeSci Companies"                             companies operating in the life sciences, biopharmaceutical, or medical
                                                 technology industries;

 "Listing Rules"                                 the listing rules made under section 73A of the Financial Services and Markets
                                                 Act 2000 (as set out in the FCA Handbook), as amended;

 "London Stock Exchange" or "LSE"                London Stock Exchange plc;

 "LSE"                                           London Stock Exchange's main market for listed securities;

 "Lycia"                                         Lycia Therapeutics, Inc.;

 "Magnolia Medical" or "Magnolia"                Magnolia Medical Technologies, Inc.;

 "Medtech"                                       medical technology sector within healthcare;

 "Milestone"                                     Milestone Pharmaceuticals, Inc.;

 "MOC"                                           Multiple on capital is the ratio of realised and unrealised gains divided by
                                                 the acquisition cost of an investment;

 "Monte Rosa"                                    Monte Rosa Therapeutics, Inc.;

 "Myotonic Dystrophy"                            a genetic condition that affects muscle function;

 "NASDAQ Biotech"                                a stock market index made up of securities of NASDAQ-listed companies
                                                 classified according to the Industry Classification Benchmark as either the
                                                 Biotechnology or the Pharmaceutical industry;

 "Net Asset Value" or "NAV"                      the value of the assets of the Company less its liabilities, calculated in
                                                 accordance with the valuation guidelines laid down by the Board;

 "Neurogastrx"                                   Neurogastrx, Inc.;

 "NewCo"                                         a new company;

 "NiKang"                                        Nikang Therapeutics, Inc;

 "Non-core portfolio assets"                     investments made in public companies as a part of cash management strategy;

 "Notional Ordinary Shares"                      Performance Ordinary Shares, in which receipt of such shares has been
                                                 deferred;

 "Nuance"                                        Nuance Pharma;

 "Numab"                                         Numab Therapeutics, Inc.;

 "Official List"                                 the official list of the UK Listing Authority;

 "Oligonucleotides" or "Oligos"                  a short DNA or RNA molecules that have a wide range of applications in genetic
                                                 testing and research;

 "Oncology"                                      a therapeutic area focused on diagnosis, prevention and treatment of cancer;

 "Ophthalmic conditions"                         conditions affecting the eye;

 "Orchestra BioMed" or "Orchestra"               Orchestra BioMed, Inc.:

 "Ordinary Shares"                               the Ordinary Shares of the Company;

 "Performance Allocation Amount"                 an allocation connected with the performance of the Company to be allocated to
                                                 the Performance Allocation Share Class Fund in such amounts and as such times
                                                 as shall be determined by the Board;

 "Performance Allocation Period"                 the First Performance Allocation Period and/or a subsequent Performance
                                                 Allocation Period, as the context so requires;

 "Performance Allocation Share Class Fund"       a class fund for the Performance Allocation Shares to which the Performance
                                                 Allocation will be allocated;

 "Performance Allocation Shares"                 performance allocation shares of no-par value in the capital of the Company;

 "Performance Allocation Shareholder"            the holder of Performance Allocation Shares;

 "POI Law"                                       The Protection of Investors (Bailiwick of Guernsey) Law, 2020;

 "Portfolio Companies"                           Private and public companies included into the portfolio;

 "Premium Segment"                               Premium Segment of the Main Market of the LSE;

 "Prometheus"                                    Prometheus Biosciences, Inc.;

 "Prospectus"                                    the prospectus of the Company, most recently updated on 14 October 2019 and
                                                 available on the Company's website (www.rtwfunds.com/venture-fund
                                                 (http://www.rtwfunds.com/venture-fund) );

 "Pulmonary conditions"                          pathologic conditions that affect lungs;

 "Pulmonx"                                       Pulmonx Corporation;

 "Pyruvate Kinase Deficiency" or "PKD"           a rare genetic disorder affecting red blood cells;

 "Pyxis"                                         Pyxis Oncology, Inc.;

 "Rare disease"                                  a disease that affects a small percentage of the population;

 "Registrar"                                     Link Market Services (Guernsey) Limited;

 "RNA medicines"                                 a type of biotechnology that uses RNA to treat a disease;

 "Rocket Pharmaceuticals" or "Rocket"            Rocket Pharmaceuticals, Inc.;

 "RTW"                                           RTW Investments, LP, also referred to as the Investment Manager;

 "RTWCF"                                         RTW Charitable Foundation;

 "RTW Royalty"                                   RTW Royalty Holding Company;

 "Russell 2000 Biotech"                          a stock index of small cap biotechnology and pharmaceutical companies;

 "SEC Rule 144"                                  selling restricted and control securities;

 "SFS"                                           Specialist Fund Segment of the London Stock Exchange;

 "Small molecule"                                a compound that can regulate a biologic activity;

 "Tachycardia"                                   a heart rhythm disorder;

 "Tarsus"                                        Tarsus, Inc.;

 "Tenaya"                                        Tenaya Therapeutics. Inc.;

 "Third Harmonic Bio"                            Third harmonic Bio, Inc.

 "TIGIT"                                         a target for a checkpoint antibody development in immune-oncology;

 "TL1A"                                          a target for the treatment of inflammation associated with inflammatory bowel
                                                 disease (IBD);

 "Type 1 Diabetes" or "TD1"                      a type of insulin resistance;

 "Total shareholder return"                      a measure of shareholders' investment in a company with reference to movements
                                                 in share price and dividends paid over time;

 "UK"                                            United Kingdom;

 "UK Code"                                       the UK Corporate Governance Code 2018 published by the Financial Reporting
                                                 Council in July 2018;

 "Ulcerative Colitis"                            an inflammatory bowel disease that causes sores in the digestive tract;

 "Umoja"                                         Umoja Biopharma. Inc.;

 "US"                                            the United States of America;

 "US GAAP"                                       US Generally Accepted Accounting Principles;

 "Uveal melanoma"                                a type of eye cancer;

 "Valuation Committee"                           Valuation Committee of the Investment Manager;

 "Ventyx"                                        Ventyx Biosciences, Inc.;

 "Visus"                                         Visus Therapeutics, Inc.;

 "WACC"                                          weighted average cost of capital;

 "XIRR"                                          an internal rate of return calculated using irregular time intervals.

 "Yarrow"                                        Yarrow Biotechnology, Inc.

 

Alternative Performance Measures (unaudited)

 APM                                          Definition                                                                      Purpose                                                                        Calculation
 Cash                                         Cash held by the Company's Bankers, Prime Broker and an ISDA counterparty.      A measure of the Company's liquidity, working capital and investment level.    Cash and cash equivalents, Due from brokers less Due to brokers on the
                                                                                                                                                                                                             Statement of Assets & Liabilities.
 NAV per Ordinary share                       The Company's NAV divided by the number of Ordinary Shares.                     A measure of the value of one Ordinary Share.                                  The net assets attributable to Ordinary Shares on the statement of financial
                                                                                                                                                                                                             position (US$363.0m) divided by the number of Ordinary Shares in issue
                                                                                                                                                                                                             (212,389,138) as at the calculation date.
 Price per share                              The Company's closing share price on the London Stock Exchange for a specified  A measure of the supply and demand for the Company's shares.                   Extracted from the official list of the London Stock Exchange
                                              date.
 NAV Growth                                   The percentage increase(decrease) in the NAV per Ordinary Share during the      A key measure of the success of the Investment Manager's investment strategy.  The quotient of the NAV per share at the end of the period (US$1.71) and the
                                              reporting period.                                                                                                                                              NAV per share at the beginning of the period (US$1.96) minus one expressed as
                                                                                                                                                                                                             a percentage.
 Share price growth/Total Shareholder Return  The percentage increase(decrease) in the price per share during the reporting   A measure of the return that could have been obtained by holding a share over  The quotient of the price per share at the end of the period (US$1.78) and the
                                              period.                                                                         the reporting period.                                                          price per share at the beginning of the period (US$1.88) minus one expressed
                                                                                                                                                                                                             as a percentage.  The measure excludes transaction costs.
 Share Price Premium (Discount)               The amount by which the Ordinary Share price is higher/lower than the NAV per   A key measure of supply and demand for the Company's shares.  A premium        The quotient of the price per share at the end of the period (US$1.78) and the
                                              Ordinary Share, expressed as a percentage of the NAV per Ordinary Share.        implies excess demand versus supply and vice versa.                            NAV per share at the end of the period (US$1.71) minus one expressed as a
                                                                                                                                                                                                             percentage.
 Ongoing charges ratio                        The recurring costs that the Company has incurred during the period excluding   A measure of the minimum gross profit that the Company needs to produce to     Calculated in accordance with the AIC methodology detailed on the web link
                                              performance fees and one off legal and professional fees expressed as a         make a positive return for shareholders.                                       below.
                                              percentage of the Company's average NAV for the period.

                                                                                                                                                                                                             https://www.theaic.co.uk/sites/default/files/documents/AICOngoingChargesCalculationMay12.pdf
                                                                                                                                                                                                             (https://protect-eu.mimecast.com/s/U0eKCmY06cjnvQpRHG0WkX?domain=theaic.co.uk)

 

 Ongoing Charges                                             2021         2020
                                                             US$          US$

 Fees to Investment Manager                                  4,813,854    2,912,850
 Legal and professional fees                                 1,070,317    1,068,017
 Listing fees                                                936,615      -
 Administration fees                                         330,834      233,459
 Directors' remuneration                                     214,353      220,875
 Audit fees                                                  288,254      162,016
 Other expenses                                              800,457      509,890
 Total expenses                                              8,454,684    5,107,107

 Non-recurring expenses                                      (1,176,627)  (18,331)
 Total ongoing expenses                                      7,278,057    5,088,776

 Average NAV                                                 408,929,032  241,755,741

 Annualised ongoing charges (using AIC methodology)          1.78 %       2.10 %

 

-- ENDS --

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