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Replies to #86227 on Biotech Values
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iwfal

11/13/09 2:19 PM

#86228 RE: rkrw #86227

ZGEN -

Telapravir is setting the bar higher with 12+12 i.e. ifn market falls in half. Adding additional orals will aim for shorter courses of treatment.



So, ifn's double their price. What are the orals thinking of charging? My guess is ifn-L, if it proves still to be necessary, will easily charge more per patient than any individual oral because it is a fairly good bet that it is significantly superior to other ifns in both efficacy and SAE - i.e. it won't have the competition problem that the direct anti-virals do.

Everyone is gunning for all oral, no ifn.



And that is it's downside - competition. (Note also that I love group think. Really, not a joke. It is where the money is - e.g. I would very much have liked to have found a way to make money on the Crestor CRP trial since the odds were much much better than the group think among the specialists said)

Bristol bet is that it will never happen.



No, as my math showed, Bristol need only have estimated a 30% chance it would never happen.

A huge bolus of hcv patients will be gone by the time a Bristol gets to the market.



Maybe. My guess is that IFN-L gets to market within 18 months of the first triple oral therapy becoming the norm. And if IFN is still necessary they take the market very very quickly.
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tony111

11/13/09 5:08 PM

#86242 RE: rkrw #86227

It has recently been shown that patients with a SNP at IL-28B gene tend to achieve SVR undergoing SOC. In fact, 86% of Caucasians achieved SVR with the SNP compared to 36% of patients without it. Although the MOA of the SNP has not been elucidated, preliminary work has suggested that the SNP causes higher expression of IL-28B. If you have listened to the ZGEN's recent CC, CEO said that interferon lambda was so well tolerated that relapse patients thought they were on placebo. I certainly think that lambda will be overwhelming better than alpha (that is assume interferon will not be obsolete).