Viagra's Rivals Share the Spotlight at Impotence Conference
Bloomberg News August 24, 1998, 2:29 p.m. ET
Viagra's Rivals Share the Spotlight at Impotence Conference
Amsterdam, Aug. 24 (Bloomberg) -- Some 1,300 doctors and scientists are meeting at an international convention on sexual dysfunction that opened today -- the first major conference on impotence since Pfizer Inc. launched its blockbuster Viagra pill.
The 8th World Meeting on Impotence Research is held in the week that Pfizer's pill faces scrutiny by European Union drug regulators who'll advise on approval of the drug in Europe. The conference will feature details on Viagra and on rival drugs such as a gel by MacroChem Inc. and an injection by Schwarz Pharma AG.
Viagra reaped $411 million in sales within three months of its April launch, and this week's conference should shed more light on a market worth as much as $4 billion in annual sales, according to analysts, and could offer hope to 50 million men -- and their partners -- in Europe, the U.S. and Japan.
''Future alternatives could be topical gels,'' said Annika Espander Jansson, a healthcare analyst at Enskilda Securities, adding that one of the main themes of the meeting will be ''a continuous discussion on the side-effects of Viagra.''
Pfizer will present research on the safety of Viagra after Washington-based watchdog Public Citizen said Aug. 20 the drug should be reviewed by the U.S. Food and Drug Administration due to safety concerns. On July 21, the FDA said 39 men who took Viagra in the U.S. later died, though that hasn't caused the agency to change its stance that the drug is safe; many of the men had been taking heart drugs known to have danger interactions with Viagra.
As well as hearing from Pfizer about studies on Viagra's safety and effectiveness, the conference will see the results of new studies on Viridal, or Idix, an injected potency drug from German drugmaker Schwarz Pharma, and Topiglan, a potency gel from U.S. company MacroChem.
Easier to Use
Sales of Viagra, the first pill for impotence, took off after it was introduced in April because it's easier to use than previous treatments, analysts say. The drugmaker said July 9 that second-quarter profit rose 38 percent on the introduction of Viagra. The shares have rocketed on the prospects for the drug, and are up 42 percent to 105 3/4 this year.
The alternatives to the pill include injected impotence drugs, such as Pharmacia & Upjohn Inc.'s Caverject and Schwarz Pharma's Viridal, and Vivus Inc.'s Muse, a pellet that's injected in the urethra.
At the Amsterdam meeting, scientists will present the results of a comparative study between Viridal and Muse, in which 95 patients received both drugs and were tested for penile response. Another study assesses the pain that patients associate with potency injections.
U.K. drugmaker Senetek Plc will be presenting new data on its injectable impotence drug Invicorp, which is still undergoing approval tests.
Enskilda analyst Jansson said injections and pellets are awkward to use. ''I do think those topically administered drugs will prove to be important,'' Jansson said.
Impotency researcher Irwin Goldstein will present results of a phase 2 trial of U.S.-based MacroChem's Topiglan. The gel allows a common anti-impotence drug to be absorbed into the surface of the skin on the penis, helping a man achieve an erection. NexMed Inc. of the U.S. is also testing a topical gel.
Rival Makers
Rival pill-makers to Pfizer include U.S. drugmaker Zonagen Inc. with its Vasomax drug, a pill like Viagra but quicker to work. Zonagen may be presenting new data from phase 3 trials, the last phase of testing required for regulatory approval, at the impotence conference.
Another competitor is Icos Corp., a U.S. biotechnology company with a pill in the second phase of testing. The drug could go into the final phase of testing by the end of the year, analysts said.
Like Viagra, the pills work by stopping enzymes thought to prevent erections by blocking the flow of blood to the penis. Biotech company Icos said its drug appears to act on just one of these kinds of enzymes, known as phosphodiesterases, while Viagra may affect others. Drugs that target enzymes more specifically produce fewer side-effects.
Physicians will also have a chance to review clinical trials of apomorphine, another Viagra wannabe that's being developed by Japan's Takeda Chemical Industries and Abbott Laboratories of the U.S. In June, the first data on large-scale trials of that oral drug showed that it enabled men to have intercourse 51 percent of the time they took it.
Apomorphine is about a year behind Vasomax in the development process. The drug is a tablet placed under the tongue, which could enable it to take effect faster than a swallowed pill like Viagra.
The meeting also spotlights the problem of female sexual dysfunction, which could offer drugmakers a huge new market for their impotence treatments. Already, women are using Viagra on their own and Pfizer has begun testing its star drug to see if it improves women's sexual functioning.
EU Scrutiny
Viagra this week faces scrutiny by a committee of European Union drug regulators, who'll recommend whether the European Commission, the EU's executive arm, approve its sale.
Viagra got the backing of the European Medicines Evaluation Agency, an expert panel that advises European regulators on drug approvals, on May 29. Final approval from the commission usually comes two to three months after EMEA approval.
Pfizer's Swiss unit said today that it sold about 15,000 Viagra pills in the first month after its introduction in Switzerland -- the first European country to approve Viagra -- in what Pfizer said was the country's most successful launch of a new drug. Pfizer began selling the drug there at the end of June. Switzerland isn't in the EU.
The impotence-research meeting, hosted by Amsterdam university Vrije Universiteit, started today and will run though Friday, Aug. 28.
--Rudy Ruitenberg in the Amsterdam bureau (31-20) 589 8507 with |