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To: Anthony Wong who wrote (732)9/2/1998 10:55:00 AM
From: Anthony Wong  Read Replies (2) | Respond to of 1722
 
Roche Gambles That Doctors Using Its Diagnostics Will Prescribe Its Drugs

Bloomberg News
September 2, 1998, 10:10 a.m. ET

Roche Bets on Twinning Tests, Drugs: Spotlight (Update1)

(Updates shares in final paragraph, adds Glaxo Wellcome Plc
in 1st paragraph.)

Basel, Switzerland, Sept. 2 (Bloomberg) -- As Roche Holding
prepares to introduce its latest AIDS drug into a market
dominated by Merck & Co., Agouron Pharmaceuticals Inc. and Glaxo
Wellcome Plc, it isn't content to let the product, Fortovase,
sell itself.

Instead, Roche is counting on regulators to approve the
sale of a new test that measures AIDS-causing HIV in patients'
blood. The world's 11th-largest drugmaker by sales is betting
doctors will use Roche tests to assess AIDS -- and eventually
illnesses from flu to cancer -- then prescribe related Roche
drugs to treat.

It's a big bet. While competitors were busy merging with
each other to boost profits as competition in the $244 billion
industry intensifies, Roche last year spent about $7 billion for
a German diagnostics company, Boehringer Mannheim GmbH.

Analysts scoff at spending so much for a company involved
in low-profit diagnostics products -- a business from which
rivals have been withdrawing, and one that may be made obsolete
by genetic screening. Roche insists it will pay.

''If drugs are equivalent, it helps a lot to have the right
package,'' said Klaus Strein, Roche's chief of integrated health
care. ''If your drug is superior, then all you need is a big
pocket to hold the money you're going to be making.''

That's the plan: Doctors would use Roche tests to diagnose
diseases ranging from flu to osteoporosis to breast cancer, then
prescribe related Roche drugs to treat them. One day, kits for
some maladies will be so simple people can use them at home,
like pregnancy tests, and buy over-the-counter drugs to feel
better.

Sales Forecast

Roche forecasts this strategy eventually will add 1 billion
Swiss francs ($697 million) to annual sales. Roche had sales of
18.8 billion francs last year.

Roche expects to begin selling Fortovase, a new version of
its Invirase AIDS treatment, later this year in Europe. The U.S.
Food and Drug Administration approved the drug late last year,
and the latest version of the AIDS test should be introduced
soon after, Roche said last week.

Analysts, however, have their doubts. Even if doctors use a
Roche test to diagnose what drug a patient needs, they say, that
doesn't mean doctors would use Roche drugs. Glaxo Wellcome Plc
of the U.K., the world's second-biggest drugmaker behind Merck,
for example, is developing a flu treatment that's similar to one
that Roche is devising in conjunction with a medical test kit.

Even if Roche does boost drug sales with its test-kit tie-
in, analysts contend, it still would have been better off buying
another drugmaker and reaping the higher profit margin of drugs.

For these reasons, 33 of 58 analysts tracked by Bloomberg
Financial Markets rate Roche shares a ''hold'' and two recommend
investors sell their shares.

''For large diagnostics businesses, it's difficult to get
operative assets to sweat and get the right returns,'' said
Robin Campbell, an analyst at Paribas Capital Markets.

Profit Margin

Roche's operating margin -- profit before investment
income, taxes and one-time items as a percentage of sales --
fell to 17 percent in the first half of 1998 from 22 percent a
year earlier. Glaxo's operating margin last year was 35.4
percent, while that of Merck, the world's biggest drugmaker, was
24.8 percent.

Investors have demonstrated their skepticism in the market.
Roche shares this year have risen 3.1 percent while the Swiss
Market Index has gained 7 percent. Glaxo has gained 25 percent,
Merck 20 percent. In the two years through 1996, Roche had
gained 63 percent, while Glaxo shares rose 53 percent.

Roche is unrepentant. Chief Financial Officer Henri Meier
last month said the company plans to become one of the world's
three biggest drugmakers in terms of sales. To do that, it would
have to increase drug sales, which were $6.23 billion last year,
by $4 billion, or 64 percent, according to figures from IMS
Health Inc., a U.S. research firm.

That reignited speculation that Roche, which is controlled
by the Hoffmann, Oeri and Sacher families, will succumb to the
industry's consolidation trend and team up with a rival in the
years ahead.

That would be particularly necessary if Roche, now the
world leader in traditional diagnostic products, fails to keep
up with gene-based diagnostics being developed by biotechnology
companies such as Affymetrix Inc., which makes equipment to put
patients' genetic data onto computer chips.

Gene Research

Roche has a head start in this, having bought the rights to
polymerase chain reaction (PCR), a technology that makes
possible the rapid duplication of genetic material, for about
$300 million in 1991.

Strein, the former head of research at Boehringer, says
that while working for Boehringer Mannheim before Roche bought
it, he was asked by the company to look for a cheaper
alternative to then-rival Roche's PCR -- and failed. ''It's
nothing more and nothing less than the ideal detection system,''
Strein said.

Roche cites PCR as an example of how it combines
diagnostics with treatment. It uses the process to track the
concentration of AIDS-causing HIV in a patients' blood and let
doctors gauge how a patient is responding to treatment. Soon,
Roche says, PCR will be enable scientists to assess whether a
virus strain is immune to some treatments.

''We think by measuring the genotype of the virus we can
predict which drug the virus is sensitive to, and we also think
our drugs are favorable compared with others,'' says Strein.

Diagnostic tools also can be helpful in discovering which
genes causes what diseases. That could lead to a whole new kind
of treatment, aimed at preventing diseases before they occur or
battling them at a genetic level, rather than treating symptoms.

''Roche is planning to base its next generation of drugs on
genetic discovery,'' says Kari Stefansson, chief executive of
Decode Genetics Inc., an Icelandic biotechnology company that is
working with Roche to study the genetic causes of disease in
Iceland's relatively homogenous population. ''So if we deliver,
as I believe we can, they will gain a lot from it.''

Today, Roche non-voting shares rose 595 francs, or 4
percent, to 15,475 francs.

--Theresa Waldrop in the Zurich newsroom (41-1) 224 4111, with