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To: Pancho Villa who wrote (865)11/8/1997 8:24:00 PM
From: jay silberman  Respond to of 1359
 
LEHMAN BROS TAKE ON THE ISSUE:

Headline: Biotechnology: American Heart Association Conference Preview
Author: CA Butler,PhD/R.Rouse (212)526-4410
Company: CNTO, CORR, TXB, GNE, IPIC
Country: IND CUS
Industry: BIOTEC
Today's Date : 11/07/97
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* The upcoming Am. Heart Assoc. meetings will provide investors with a variety
of presentations on both familiar and emerging drugs to treat cardiovascular
conditions.
* Specifically, we suggest that the conference will bode well and thus provide
momentum for four Buy-rated stocks within our coverage universe: Centocor, COR
Therapeutics, Texas Biotechnology, and Interneuron.
* Several workshops over the weekend will highlight the more significant data
for both CORR and CNTO, while TXB and IPIC's data will come over the course of
the actual conference.
* Heading into the conference, we remain committed to our BUY rating on each
stock. On a risk-adjusted basis, however, CNTO remains our top choice.
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The 70th Scientific Sessions of the American Heart Association (AHA) will
begin Saturday Nov. 8 in Orlando, Florida and will run through Wednesday Nov.
12. Both at the main conference as well as the many satellite symposia, a
myriad of clinical data will be presented in the field of cardiology. Below
we attempt to highlight for investors some of the more pertinent
presentations.
George Washington University will host a workshop on Saturday entitled
Thrombolysis and Interventional Therapy in Acute Myocardial Infarction.
This program will include a discussion of Centocor's TIMI 14 and RAPPORT data,
COR's pivotal PURSUIT data for Integrilin, and Genentech's (GNE, $58 5/16, 2-
Outperform) TNK-tPA TIMI 10-B and ASSENT-1 trials. Also on Saturday, the
Texas Heart Institute will sponsor a symposium entitled Advancing the
Treatment of Acute Coronary Syndromes which will include several discussions
on the use of the class of IIb/IIIa inhibitors in various settings (including
combinations with stents). A smaller session on Saturday evening, New
Directions in the Management of Patients with Unstable Angina and Non-Q-Wave
Myocardial Infarction, will discuss the role of IIb/IIIa inhibitors an d will
have a specific discussion of Integrilin's PURSUIT data.
Perhaps one of the more significant satellite events will be INTERVENT 98 on
Sunday. A plethora of information on interventional cardiology, this program
will discuss Integrilin's PURSUIT trial, ReoPro's RAPPORT and ERASER studies ,
Merck's PRISM Plus study with Aggrestat. Noteworthy is that thought leader in
the community, Dr. Eric Topol of the Cleveland Clinic, will lead a discussion
comparing/contrasting the PARAGON, PRISM, PRISM Plus, and PURSUIT studies of
competing IIb/IIIa's. While the data from the aforementioned workshops will
also be presented throughout the conference, we suggest that much will be
revealed prior to Monday and that the stocks will begin to mount moves based
on what is discussed on Saturday and Sunday.
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AHA MAIN CONFERENCE - NOTABLE PRESENTATIONS :
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> Centocor (CNTO, $52, 1-Buy)
DRUG: ReoPro (abciximab / c7E3 fab), IIb/IIIa inhibitor
TRIALS: RAPPORT - Ph. 4 study in acute mi utilizing ReoPro as an adjunct to
primary PTCA; ERASER - Ph. 4 study utilizing ReoPro w/ stents; TIMI 14 - Ph. 2
study in acute mi; EPIC - Ph.3 study in PTCA; EPILOG - Ph.4 study in PTCA.
Abstract Topic Date/Time
476 ERASER results Mon. 8:45
902 EPILOG 1-yr data Mon. 9:00 (poster)
896 EPIC v. EPILOG bleeding Mon. 9:00 (poster)
900 Repeat ReoPro dosing Mon. 9:00 (poster)
2664 RAPPORT results Tue. 2:15
- 26 total abstracts Mon. through Wed. (in both oral and poster form)
These data should bode well for ReoPro sales as the drug is being repositioned
into the unstable angina market following label expansion (announced
yesterday).
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> COR Therapeutics (CORR, $23 7/8, 1-Buy)
DRUGS: Integrilin, IIb/IIIa inhibitor; Factor Xa antagonist
TRIALS: PURSUIT - Ph.3 study in unstable angina; IMPACT - Ph. 3 study in PTCA
Abstract Topic Date/Time
220 Factor Xa antagonist Mon 11:15
2647 Antiplatelet agents in ami Tue 3:00
2652 Comparison of IIb/IIIa's Tue 4:45
While most of the discusison of Integrilin trials will be limited primarily to
the weekend sessions, there will be two presentaions to specifically discuss
and/or compare the utility of certain IIb/IIIa inhibitors (including
Integrilin. COR will also be presenting data from a compound earlier in the
development process, its novel Factor Xa antagonist as an ihibitor of arterial
thrombosis.
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> Texas Biotechnology (TXB, $6 1/8, 1-Buy)
DRUG: Novastan (argatroban), thrombin inhibitor
TRIALS: MINT - Ph. 2 study w/ tPA in acute mi; Ph.2/3 study in PTCA patients
w/ HIT
Abstract Topic Date/Time
213 assays for HIT Mon. 8:45
1199 PTCA/HIT data Mon. 2:45
1845 MINT results Tue. 9:30
3635 Japanese restenosis data Wed. 10:30(poster)
It is worth noting, that the upcoming American Society of Hematology (ASH)
meetings in early December in San Diego will also be a venue for Novastan data
discussions. We propose that newly signed marketing partner SmithKline
Beecham will be quite aggressive in its unofficial premarketing' efforts and
will host a symposium on Friday, Dec. 5 focusing entirely on HIT and the role
of Novastan in HIT therapy.
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> Interneuron Pharmaceutical (IPIC, $11 9/16, 1-Buy)
DRUG: Redux (dexfenfluramine), serotonin reuptake inhibitor
Abstract Topic Date/Time
3033 Prevalence of heart valve disease Tue 1:30 (poster)
Evidence from this study suggests that valvular heart disease in the general
population is higher than previously anticipated and not dissimilar from that
observed in the studies utilizing anti-obesity drugs, such as fen-phen or
Redux. We believe this evidence provides greater probability for
Interneuron's Redux not being the primary cause of valvular disease as
previously speculated. Speculation regarding Interneuron's liability in law
suits involving Redux are further diminished.
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Disclosure Legend: A-Lehman Brothers Inc. managed or co-managed within the
past three years a public offering of securities for this company. B-An
employee of Lehman Brothers Inc. is a director of this company. C-Lehman
Brothers Inc. makes a market in the securities of this company. G-The Lehman
Brothers analyst who covers this company also has position in its securities.



To: Pancho Villa who wrote (865)11/8/1997 10:46:00 PM
From: WeirdPro Randy  Read Replies (1) | Respond to of 1359
 
My views on the Framingham study are very optimistic as they are the best scientific data we have to evaluate the incidence of valvular disease to relate with trying to correlate an increased incidence in diet drug users, But I am also optimistic based on the FDA findings as these are highly suspicious, only made more so by the WSJ survey which highly contradicted the FDA findings. The FDA findings are most suspicious and "tossable", as the data doesn't jive between the five centers who contributed to the study.........specifically that although one center specifically picked many of their patients to study from patients with noted heart murmurs and therefore one would expect a higher degree of abnormal echo findings (and this center sent in the most patients of all five, 121 out of the 291) in this center's data......this is not so, in fact this center was even slightly below the average.
I do not feel the diet drug recall was wrong, but I feel the truth of the matter, other than the fact that an ECG is a fairly subjective test, will not be found in the FDA data.
I feel when more scientific information is obtained, the diet drugs will show themselves to create a very significantly smaller potentiator in valvular disease, and that this potentiation will be time related (ie the longer on the drugs, the higher chance) which will add significantly more fingerpointing towards fen-phen which has been in use much longer. And with anectodal evidence pointing towards a reversal of the condition in many cases when the drugs are stopped, this is only further findings I would suspect to be emerging ( not necessarily soon) that will help.
And in consideration of the Dow Corning release you posted, this simply shows how long this legal process can take ( and will take if continued), so when and if the suits will directly create a strain to the revenues other than from the recall, we will be sitting pretty