Pharmacia & Upjohn Rises on FDA Panel Nod for Cancer-Drug Claim
Bloomberg News September 4, 1998, 9:26 a.m. ET
Pharmacia & Upjohn Rises on FDA Panel Nod for Cancer-Drug Claim
Stockholm, Sept. 4 (Bloomberg) -- Pharmacia & Upjohn Inc. shares rose as much as 8 percent in Stockholm today after the Swedish-American drugmaker yesterday received the backing of U.S. government experts to make stronger claims about a drug, and won regulators' approval for a new, implantable eye lens.
Shares in Pharmacia & Upjohn, which also makes the Rogaine treatment for baldness, rose as much as 28 kronor, or 8 percent, to 379 in Stockholm, and recently traded at 371.5 kronor.
An advisory panel yesterday recommended unanimously that the U.S. Food and Drug Administration allow the company to say its already approved Camptosar, a drug used for patients with cancer of the rectum or colon, can actually stave off death in patients with metastatic or spreading cancer and in patients who have become resistant to their only other existing drug option.
''We're quite excited about it,'' said Langdon Miller, Pharmacia & Upjohn's vice president of clinical development for cancer drugs. ''This really represents the first time that a drug for colorectal cancer has ever been approved based on survival data.'' The FDA typically follows the advice of its expert committees.
The drug is already cleared by the FDA under what is known as an accelerated approval, designed to get promising drugs to desperately ill patients after an abbreviated testing period. Before Camptosar, patients with colorectal cancer had few options, so the FDA cleared the drug based on data showing only that it reduced tumor size, but left unanswered some questions about the drug's long-term benefits.
A ''survival'' claim may increase the likelihood the sickest of cancer patients -- and their doctors -- would opt to use the drug and try yet another round of chemotherapy.
Camptosar is made and sold in the U.S. by Pharmacia & Upjohn, the world's 18th biggest drugmaker, and by leading French drugmaker Rhone-Poulenc SA in Europe.
Eye Implant Also Approved
Separately, Pharmacia also won FDA approval for a new implantable eye lens coated with the blood-thinning drug heparin. It's designed to keep the lens clear of obstructions and cause less inflammation in the eye than other implants.
Yesterday, the company presented a study, first released in May, showing its Camptosar drug helps patients with metastatic colorectal cancer who relapse or don't improve when treated with 5FU, a widely used drug that is decades old.
The data offer hope to the large number of patients whose colon or rectal cancer is detected late and whose disease has spread. Camptosar was the first drug in 40 years, and only the second drug ever cleared, to treat the prevalent cancer when it won FDA approval in 1996. The agency backed the drug for use in colorectal cancer once other treatments have failed.
Longer Survival
Data from a study of 279 patients with relapsed, metastatic colorectal cancer showed the drug kept patients alive longer and increased their ability to function normally for longer.
Patients taking the drug were 2.6 times as likely to survive another year than were patients who received supportive care such as pain medication but no aggressive therapy after the first drug failed.
The study shows the drug improves the quality of life as well as extending it. Patients on the drug regimen fared significantly better in terms of overall performance, pain, and weight loss, and almost all other measures of quality of life.
While the drug has been available for use in colorectal cancer patients, this is proof for doctors that its benefits far outweigh the cost of side effects such as diarrhea. In terminally ill patients, that is the equation doctors must weigh.
Pharmacia is already researching the use of the drug as a first option for cancer patients and is looking at its application to other cancers. The current market for the drug is about 50,000 patients, Miller estimated.
Metastatic colorectal cancer, or cancer where the disease has spread throughout the body, is more difficult to treat than the early form of the disease. About 95 percent of patients whose cancer is detected early survive at least five years, according to the American Cancer Society. Camptosar could have the potential to actually cure patients whose cancer is detected early, Miller said.
Well over half of all patients with the disease have more advanced forms, and the odds of survival plummet the more the cancer has spread.
Only 38 percent of Americans age 50 or over have ever been screened for the cancer, and only 29 percent have been screened in the past five years, according to a report issued by the Centers for Disease Control and Prevention.
No. 2 Cause of Cancer Deaths
Among cancers, only lung cancer kills more Americans than colorectal cancer, which kills about 55,000 people a year in the U.S. alone.
The FDA's approval of the company's CeeOn heparin-coated eye lens offered more good news. The lens, already sold in Europe, is implanted into the eye to replace natural lenses damaged by cataracts.
The approval, expected after an FDA advisory panel unanimously recommended the lens in October 1997, may help Pharmacia & Upjohn grab a larger share of the $400 million-a- year U.S. market for implantable lenses, which are also made by a host of other companies including Allergan Inc. and Mentor Corp.
Lens implants are most often used in the surgical treatment of cataracts -- a condition in which the eye lens is gradually clouded by changes in tiny protein fibers until vision is almost destroyed. The condition generally occurs in the elderly and is most often treated by removing the damaged surface of the eye and replacing it with a synthetic lens implant.
Pharmacia's U.S. shares rose to 44 9/16 from 44 1/8 yesterday.
--David Bentow in the Stockholm newsroom (468) 610 0700 and |