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Biotech / Medical : momo-T/FIF -- Ignore unavailable to you. Want to Upgrade?


To: Icebrg who wrote (1890)2/7/2005 6:26:47 PM
From: former_pgs  Read Replies (2) | Respond to of 12215
 
From an investment point of view, there is little money to be made by speculating in Iressa's revival for nsclc. As Erik suggested, in patients where EGF-R status (mutation or not) is unknown, docs can't go with Iressa over Tarceva. Iressa is then left solely to the mutation-bearing patients. In this case there are two possible scenarios:

1) If Tarceva does have comparable activity in the mutation-bearing subset of patients, then AZN or patients have little to gain from Iressa remaining on the market.

Net effect here is that Iressa gets pulled and / or remains on the market with sales that are too low to impact AZN's valuation.

2) If Iressa's effect on the subset is unique and not replicated by Tarceva, then AZN should leave the drug on the market. And so should the FDA. However, they're not going to make much money from it. It may be something to license out to a smaller player, who may even develop a rapid test for the genotyping.

Net effect again is that it doesn't positively affect AZN's valuation.



To: Icebrg who wrote (1890)2/7/2005 6:33:40 PM
From: zeta1961  Respond to of 12215
 
Good Q Erik...I believe it puts the oncologist in a difficult position..Iressa has more side effect issues but there is a subset of patients who have a marked positive response..whereas, Tarceva showed benefit across subpopulations but without QOL/meaningful longevity advantage.. 12 days PFS and 2 months OS,although statistically significant, in reality, means that these patients remain in hospice care for 2 months longer..an oncologist can't feel good about that...

Zeta