I've been waiting to buy some more VVUS for weeks, and finally decided to pick some up at today's low. It's been so odd how VVUS got stuck in this 15-15.1 range for what seemed like an eternity. The drop to 14 looked like a good opportunity. So, I turn on Nightline to see that the assault on Clinton is now heating up as his personal secretary is giving not that glowing testimony about him. I expect the market tomorrow will be considerably down early in the day, with the chance of a recovery later on as the White House gives rebuttals and the whole situation becomes shrouded in confusion once again. QCOM's announcement was already making me jittery about the INTC I picked up today...and now this.
Here's a couple articles I came across. The first talks a bit about VVUS' roots, and the second is about VVUS advertising campaign. I never knew that Virgil was experimenting on his own pecker to perfect MUSE...I bet few of you knew either :)
The Guardian
Tuesday, February 3, 1998
The Guardian Feature Page
Health: Up, up and away At the age of 73 an American doctor is launching the new impotence treatment he developed by testing it - very thoroughly - on himself. Annabel Ferriman reports ANNABEL FERRIMAN
I suspected that I was lunching with someone unusual when my guest, Dr Virgil Place, ordered hot water as an aperitif and then insisted on eating his meal in reverse order, starting with chocolate mousse and ending with soup. 'I am 73 years old,' he said. 'Life is uncertain - eat dessert first.' But then what can you expect from a man who invented a new treatment for male
impotence (now called erectile dysfunction, or ED) at the age of 64, tested it extensively on himself and launched it on the American market at the age of 72? Since then almost 500,000 men have tried it, and now it is to be launched in Britain, where one in 10 men suffers from erectile dysfunction. What's different about Dr Place's solution is the delivery system. In the 1980s, a doctor in Sweden discovered that a drug called alprostadil, which was used to dilate the blood vessels in new born babies with heart problems, was also highly effective in penile erectile tissue. It was taken up and marketed by the pharmaceutical industry, but the only way of using the drug was by injection, direct into the side of the penis.
'This was not a user-friendly system,' explained Dr Place, an American who is both an endocrinologist (hormone specialist) and a drugs industry pharmacologist. Place should know. He used the old method of treatment after suffering erectile dysfunction following an operation for prostate cancer in 1988. He set about trying to discover a better method of getting the drug into the blood vessels of the penis. He was well qualified, because he had spent the previous 20 years developing new drug delivery systems, including trans-dermal skin patches to deliver drugs for motion sickness,
high blood pressure, angina and menopausal symptoms in women. He had also developed a testosterone skin patch for men.
By 1989 he felt he had come up with a solution. He had developed a system in which patients could insert a small pellet into the opening of the urethra (the tube in the penis through which urine is passed) and massage it until it dissolved. The patient has to have urinated shortly before inserting the pellet because the drug needs a few drops of urine to act as a solvent. The drug works within five to 10 minutes and the erection usually lasts between 30 minutes and an hour.
During his time in the pharmaceutical industry, Dr Place had always tried out new inventions on himself before proceeding to clinical trials. As he puts it, all new systems are first tried 'in vitro' (in test tubes), next 'in vivo' (in animals), and then 'in Virgil'. This new system was no exception.
'I worked on it every evening and at weekends, changing the formulation, testing it and then modifying and improving it,' he told me at our lunchtime discussion, which was followed closely by
diners at the adjoining tables. By the end of the eighties he felt that he had got it right. Unfortunately the company he was with was not interested in it, so in 1991 he left and, with venture capital from several groups in California, formed Vivus Inc. The company set up several large clinical trials and, after satisfactory results (a successful trial was published in the New England Journal of Medicine), applied to the Food and Drug Administration for a licence, which they received in November 1996. The system, named Muse (Medicated Urethral System for Erection), went on to to the market in the US in January 1997.
So does the system, which has several advantages over an injection, have any disadvantages? Putting the applicator into the urethra is not as uncomfortable as it sounds, apparently: the tube is three millimetres in diameter and has to be inserted three centimetres. But in some cases, the drug does not disperse well, with the result that patients feel some uncomfortable stinging in the penis. Most problems, says Place, are surmountable. 'We want to see patients educated properly in its use. We have discovered in the US that if a doctor simply prescribes it and does not train the patient properly, he often does not come back for more. But doctors
who educate their patients get success rates of 60 per cent or more.' In the US the company has a free help-line which, in the first weeks after the drug's launch, got about 1,000 calls a day. It is staffed by male nurses, who sometimes have to talk the procedure through with the patient. Some callers listen to the instructions with the receiver in one hand and their reproductive equipment in the other.
Until the 1980s doctors thought that psychological problems were the main cause of impotence, but many now believe that physiological reasons may account for about three-quarters of cases. The condition also increases sharply with age. About 5 per cent of 40-year-olds are affected and this goes up to 15-25 per cent of men over the age of 65.
Despite the fact that Dr Place is 73 and has undergone major prostate cancer surgery, he is still carrying out research into male and female dysfunction. He and his third wife, Irina, a beautiful 30-year-old English literature PhD student have a home in Hawaii and, when he is not working, ski-ing or travelling the world, they are developing a botanic garden in their 45-acre
estate. Perhaps we should all adopt Dr Place's recipe for health, success and long-life and drink only hot water at all times and start meals with a chocolate dessert.
The Business Journal - San Jose
Monday, February 2, 1998
Vol. 15, Issue: 41
Rejection of Super Bowl ad deflates Vivus' plans Goal was for 30-second spot to anchor campaign Peter Delevett Business Journal staff writer
If you were among the millions who watched this year's Super Bowl, you probably saw advertisements for Silicon Valley companies including Oracle Corp., Intel Corp. and Sun Microsystems Inc.
But you didn't see one for Vivus Inc. of Mountain View.
Officials at the medical technology company said NBC turned down
its request for fear that viewers weren't ready to see a TV ad for an erectile-dysfunction product.
Vivus had envisioned a 30-second Super Bowl spot as the centerpiece of a major advertising campaign kicked off in recent weeks to promote Muse, a medication that increases penile blood flow.
"It was disappointing that NBC made this decision," said Julian Gangolli, Vivus' vice president of sales and marketing.
Company officials said the Super Bowl would have been a perfect forum for discussing impotence, which they said affects one in 10 men by age 50.
The company's research shows men of that demographic constitute 75 percent of the Super Bowl audience.
The advertisement consists solely of text with a voice-over by actor Ed Asner. It starts off with the words: "Attention, impotent men-all 20 million of you."
It goes on to urge men to discuss Vivus' product with a doctor, "then buy some flowers."
The advertisement apparently was a bit too much for NBC, even without any visual accompaniment.
NBC turned down Vivus and its proffered $1.3 million check because the ad didn't pass the network's litmus test for propriety, according to Leslie Clayton of San Francisco ad agency Hoffmanewis, which created the spot.
Ms. Clayton said Rick Gitter of NBC's standards committee told Hoffmanewis the network would consider running the ad only after 11:30 p.m.
"Since there was no experience airing something like this, they said, 'We really want to wait until it's on television [elsewhere] before we put it on prime time," she said.
Vivus appealed the decision to Roz Weinman, NBC's senior vice president for broadcast standards, to no avail.
Mr. Gitter was traveling and unavailable for comment. Ms. Weinman did not return phone calls. Both are based at NBC's New York headquarters.
But Alex Constantinople, NBC's director of corporate communications, did say: "We're not comfortable airing the ad, bottom line."
Vivus called the network's decision ironic, pointing out that NBC's own sitcoms are more risque than the proposed ad. Ms. Constantinople said separate departments set standards for the content of ads and programs.
NBC's competitors apparently don't share its concerns about viewer reaction.
Ms. Clayton said CBS had agreed to air the commercial during the AT&T Pebble Beach National Pro-Am golf tournament Jan. 31. The ad also was scheduled to run during the "CBS Evening News with Dan Rather," "60 Minutes," "Chicago Hope" and others.
ABC has agreed to air the ad after 10 p.m., a constraint Vivus can live with because it includes programs such as "20/20," Ms. Clayton said.
"Obviously, it's subjective," Ms. Constantinople said when asked why other networks would agree to run the spot.
A CBS spokesman who requested anonymity said networks must be careful in deciding whether to run certain ads, and when.
"Every town has different mores," he noted. "What goes in New York may not go in Eau Claire, Wis., or Oxford, Miss."
He added that in general, a product such as Muse would be restricted to post-10 p.m. advertising.
Ms. Clayton said CBS has agreed to run the spot earlier during specific programs.
Print ads for Muse will appear in mainstream publications such as
Newsweek, Time, Readers Digest and The New York Times.
"I would venture to guess that in three months, [NBC] will be looking for us to advertise," Ms. Clayton said.
Mr. Gangolli of Vivus said the company hopes the ad blitz will debunk notions that impotence is primarily a psychological condition. He said research has shown 90 percent of cases are attributable to physical causes such as diabetes, vascular surgery and hypertension.
But fewer than 10 percent of men who suffer from impotence seek treatment, Mr. Gangolli said.
"We hope this [advertising] effort will let individuals know they are not alone, that impotence can be easily treated," he said.
More than 475,000 patients have used Muse since it was launched in early 1997, making it the nation's top-selling product for impotence treatment, according to Vivus.
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