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Biotech / Medical : NKTR Drug delivery Company -- Ignore unavailable to you. Want to Upgrade?


To: Ian@SI who wrote (41)6/22/2006 12:11:13 PM
From: tuck  Read Replies (1) | Respond to of 507
 
It comes down to patient compliance. There are perhaps worse outcomes than impaired lung function if the patient is non-compliant. If a patient asserts that he'd be more likely to take his snorts of Exubera than to stick himself with Byetta or whatever, I, as a doctor might be correspondingly less reluctant to prescribe it. Pfizer gets to launch while Lilly/Amylin are having manufacturing constraints. So I think the launch may actually go better than expected.

The other issue is insurance coverage. One analyst thinks Exubera might have a harder time winning coverage because it's only a new form of an existing treatment. I don't really follow his logic. Again, it comes back to compliance. If insurers feel patients will be more compliant on Euxbera, they'll cover it. The cost of non-compliance outweighs the additional cost of the delivery system.

Hard to say. My modest bet says it will win slow acceptance after a fast start. But there will certainly be doctors and patients who share your misgivings, and the patients will then endure the daily sticking pain to save their lung function, I guess. This probably hasn't helped much, and is certainly not new thinking, but hey, you did ask. Sorry I did not produce a more definitive answer. Given your mindset, I'd say just stay away, don't short, don't long.

Cheers, Tuck



To: Ian@SI who wrote (41)6/22/2006 12:49:54 PM
From: Arthur Radley  Read Replies (1) | Respond to of 507
 
Ian,
I would be a little cautious..especially with the recent ruling from Europe as to what type patients will be allowed the drug under their reimbursement plans. Basically, only those with needle phobia will be allowed the drug. As this article points out, patients will basically have to get a doctor to diagnosis them with mental problems before they can use the drug...IMO, patients will be reluctant to take this step.

yahoo.reuters.com