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  • The Magnificent 200

    November 13, 2009

    A New Cholesterol Study Puts Focus on Merck Drugs

    By NATASHA SINGER




    Some of Wall Street’s leading drug industry analysts are scheduled to fly to Orlando, Fla., on Sunday afternoon. A junket to SeaWorld it is not.

    For top analysts from investment banks, including JPMorgan and Credit Suisse, or some of their minions, the destination is a cardiology conference where on Monday morning medical researchers are expected to present a study with potentially significant implications for multibillion-dollar cholesterol medications from the drug giant Merck.

    The new study, to be released Monday at an annual meeting of the American Heart Association, is relatively small, involving only about 200 people. That could limit its significance.

    But analysts are paying rapt attention to the report because two previous studies reduced sales of the drugs after indicating that they may not work any better than cholesterol drugs known as statins that are widely available as inexpensive generics.

    Analysts are waiting to see whether the new study reinforces the earlier findings or, perhaps, makes matters even worse for Merck.

    The study represents the first major news event, or catalyst in investor jargon, that could affect Merck earnings after the $41.1 billion merger the company completed last week with Schering-Plough.

    At stake are sales of Vytorin and Zetia, two cholesterol-lowering drugs that, even with the coming study factored in, are projected to bring in $4.5 billion in revenue for Merck in 2012, according to estimates from Catherine J. Arnold, an analyst with Credit Suisse. She forecast that in 2012, the cholesterol drugs would represent about $3 billion in profits, or about 17 percent of Merck’s projected total pretax profits of $17.4 billion.

    “This franchise is important from an earnings standpoint and a strategic standpoint,” Ms. Arnold said. “It wasn’t the crux of the merger of the two companies, but it was clearly a franchise both were interested in.”

    After the previous two studies raised questions about the drugs, sales of Vytorin and Zetia decreased to about $4.56 billion in 2008, compared with about $5.19 billion in 2007, according to a company regulatory filing. The decline occurred primarily in United States sales of the drugs.

    “It’s been such a controversial franchise that any bit of incremental data is going to get a lot of attention from the financial community,” said Chris Schott, an analyst with JPMorgan.

    In a note sent to investors this week, Mr. Schott estimated that, if the forthcoming study were to cause a sales drop in the cholesterol drugs, for every 10 percent reduction in American sales, earnings would drop by roughly 5 cents a share.


    “It was very unfortunate that this drug was introduced and became very popular without a large, well-designed study to look at whether it could reduce cardiovascular events,” said Dr. Steven Nissen, the chairman of cardiovascular medicine at the Cleveland Clinic.
    http://www.nytimes.com/2009/11/13/he...l?ref=business

  • #2
    Re: The Magnificent 200

    Originally posted by don View Post
    After the previous two studies raised questions about the drugs, sales of Vytorin and Zetia decreased to about $4.56 billion in 2008, compared with about $5.19 billion in 2007, according to a company regulatory filing. The decline occurred primarily in United States sales of the drugs.
    rating drugs or cdos, the age old conflict of interest rules apply.

    Comment


    • #3
      Re: The Magnificent 200

      I think drastic savings could be realized by some simple prevention.

      This is supposed to cost about 10 cents per day. Look at the size of the reductions; the effects are not small.
      http://news.bbc.co.uk/2/hi/7971456.stm

      Vitamin D supplement at at least 1,000 iu per day is also a good idea I think if it is not possible to get a little sun every day.

      Of course the pharmaceutical industry will not like it if it works as promised. Where would be the profit in something that costs $40 per year?

      My basic point is that there are a number of easy cheap things that can be done to increase the probability of postponing health problems. Look around for information on:

      Folic acid
      Vitamin D
      Increasing consumption of vegetables and Alzheimer's
      Decreasing consumption of meat, eggs, and milk

      I have not gone vegetarian, but now understand that the amount of meat you really need to eat is very small, sorta like slivers of beef with vegetables in Chinese food.

      When you see those charts in doctors' offices showing how "normal" blood pressure increases as you age, you should realize that that is actually not normal at all. Blood pressure does not climb in Chinese living in China eating a traditional diet. As soon as they start to overeat, they get all the accelerated diseases of aging that we do. It is not just too much fat and too much starch and sugar, it is also too much protein.

      An African-American male living in San Francisco has more than 100 times the risk of prostate cancer than a Chinese male in southern China, primarily it is thought due to Vitamin D levels.

      Comment


      • #4
        Re: The Magnificent 200

        Statins have no effect on all cause mortality. Where they may prevent heart disease they seem to increase other deaths.

        And yet it seems no one in the mainstream media is talking about all cause mortality and the woeful inadequacy of statins (except for drug company profits).

        the cholesterol hoax may soon be over - instead of record sales, drug companies may have to defend against charges of

        manufacturing a crisis
        seeding regulatory bodies with biased staff
        spoon-feeding doctors (via their sales agents) biased, overly optimistic reports of drug benefits

        Maybe the whole thing will vanish into history like the billions wasted on the "lower your salt intake" public health misadventure from the 70s and 80s.

        I hope it does not just vanish. Someone should pay for the distraction from more promising research, from a rush to judgment in public health policy and pushing bad drugs on the population.

        http://peter-one-instant.blogspot.co...-of-heart.html


        >>>>>>>>>>>>>>>>>
        The outcome from these trials is a further demonstration that the small benefit from statin treatment has nothing to do with cholesterol. For instance, although cholesterol plummeted and remained at about fifty percent below the initial value during the whole SEAS trial, it did not change mortality, but it increased the number of cancer with statistical significance. Even worse was the result of the ENHANCE trial, where atherosclerosis in patients with familial hypercholesterolemia progressed the most among those whose cholesterol was lowered the most.

        Comment


        • #5
          Re: The Magnificent 200

          I had a terrible reaction to statins that left me with muscle damage and weakness. It wasn't until I just happened to be discussing my problem with a friend that I learned it was because of the Statin drug I was taking. My friend had the same experience. I haven't been the same since, and that was about a year ago.

          Comment


          • #6
            Re: The Magnificent 200

            I sympathize with you ... and of course neither your doc nor the pharmacist told you ...

            My mother's MD put my mother on statins. HOLY CR*P.

            forget causation, there's never even been a CORRELATION, much less any proven causation between cholesterol in women and heart problems, but those CLUELESS, CLUELESS, CLUELESS MDs are trying to reduce cholesterol in OLD WOMEN. It's worse than Lemmings stampeding off a cliff.

            What are they thinking?
            "cholesterol bad. See high cholesterol. remember cholesterol bad. Try to reduce cholesterol."

            It boggles the mind and beggars the imagination.

            I couldn't convince her to try to change her diet or take niacin instead, so I'm watching her carefully for the side effects (none of which were explained to her, of course)

            Originally posted by flintlock View Post
            I had a terrible reaction to statins that left me with muscle damage and weakness. It wasn't until I just happened to be discussing my problem with a friend that I learned it was because of the Statin drug I was taking. My friend had the same experience. I haven't been the same since, and that was about a year ago.

            Comment

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