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Financial Modeling · Therapeutics

Building the Financial Case for a Phase 3 Drug Asset

Role: Independent consultant Client: Seed-stage CNS therapeutics company
A seed-stage CNS company needed more than a spreadsheet — they needed a defensible, investor-ready financial model grounded in real market evidence. I built it from first principles, combining primary payer and provider research with a rigorous patient-based revenue forecast.

The Challenge

The founding team had deep scientific expertise but no commercial infrastructure. They needed to validate their revenue assumptions with primary market research and translate that into a financial model that would hold up under investor scrutiny — without the budget for a full-time commercial team.

What I Did

  • Conducted semi-structured interviews with physicians on standard of care, prescribing intent, and evidence requirements — directly informing timing and adoption assumptions in the model.
  • Interviewed payers to understand utilization management practices and evidence thresholds, grounding reimbursement timing in real-world payer behavior rather than optimistic projections.
  • Built a patient-based peak sales forecast with scenario analysis, modeled gross-to-net pricing across Medicare, Medicaid, Commercial, State Exchange, and direct-to-consumer channels.
  • Used agentic AI tools to efficiently compile clinical guidelines, downstream cost data, and comparable drug pricing benchmarks — then verified every key assumption against primary sources and domain expertise.

Outcome

The company entered their Series A process with a financial model grounded in primary research — one their team could defend assumption-by-assumption. The provider interviews also surfaced insights that directly informed Phase 3 trial endpoint design, a deliverable that extended well beyond the financial model itself.

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Deliverables
  • Patient-based revenue forecast with scenario and sensitivity analysis
  • Payer channel pricing model (WAC and net reimbursement by payer type)
  • Synthesis of primary payer and provider interview findings
  • Commercialization plan section structured for investor data room
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All supporting analysis is documented professionally and structured for inclusion in an investor data room.