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Novartis PCSK9 ready to eat Amgen's lunch!

anonymous

Guest
A year after Novartis wagered $9.7 billion on The Medicines Company and its PCSK9 drug, inclisiran is set for its first launch.

The EU has approved the RNAi therapy, christened Leqvio, for adults with hypercholesterolemia or mixed dyslipidemia. Originally developed on Alnylam’s platform, it lowers low-density lipoprotein cholesterol — the bad kind — by turning off the production of PCSK9 at its source.

A decision from the FDA is expected before the end of this year.

It marks an important win for Novartis as CEO Vas Narasimhan looks to finally do some breakout work in cardio, where the R&D side of the company has been repeatedly thwarted by flawed results and a flagging Entresto franchise.

As Regeneron/Sanofi and Amgen have seen firsthand with their own PCSK9 antibodies, the market “needs to be majorly developed,” Evercore ISI analyst Umer Raffat previously noted. Prior to the buyout, The Medicines Company has indicated it wants to price lower than the current drugs — which have already slashed their price in face of payer resistance.

Novartis will have a new kind of dosing regimen to tout, as inclisiran only requires subcutaneous administration every six months.

Narasimhan is counting on it to succeed. At a recent investor presentation, he tapped inclisiran as one of six mid- to late-stage programs he believes would prove more of a slam dunk within the next year or two.
 

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Dosing once per 6 months could be an advantage. But it could also be a disadvantage because the reliance of the buy and bill strategy. If we were talking about an endo office then buy and Bill would be fine but cards are not used to buy and Bill. Why would they want to allocate a significant amount of capital to buy the drug, carry it and implement a program to track patients needing their next shot, then have to bill for reimbursement? It’s not a slam dunk, we will see
 




Dosing once per 6 months could be an advantage. But it could also be a disadvantage because the reliance of the buy and bill strategy. If we were talking about an endo office then buy and Bill would be fine but cards are not used to buy and Bill. Why would they want to allocate a significant amount of capital to buy the drug, carry it and implement a program to track patients needing their next shot, then have to bill for reimbursement? It’s not a slam dunk, we will see

Your kidding right about the dosing right. Of course it is going to be an advantage. Prolia seems to do just fine with 6 month buy and bill and I am sure Cards will jump in line to get patients coming back on a regular basis. Get that resume fired up.
 




Your kidding right about the dosing right. Of course it is going to be an advantage. Prolia seems to do just fine with 6 month buy and bill and I am sure Cards will jump in line to get patients coming back on a regular basis. Get that resume fired up.

Is Prolia sold in a cards office? Cardio are not used to buy and bill. You’d be asking them to learn an entirely new method for the use of 1 medication. They’d also have to devote resources to tracking patients and their next dose. Also allocating capital to buy and carry the drug for months at a time and then wait for reimbursement...I mean that’s not a simple ask. Unless the efficacy is significantly better or drug significantly cheaper, it’s debatable whether the dosing schedule will be advantage and therefore not a slam dunk inclisiran will make a big dent in year 1
 








Is Prolia sold in a cards office? Cardio are not used to buy and bill. You’d be asking them to learn an entirely new method for the use of 1 medication. They’d also have to devote resources to tracking patients and their next dose. Also allocating capital to buy and carry the drug for months at a time and then wait for reimbursement...I mean that’s not a simple ask. Unless the efficacy is significantly better or drug significantly cheaper, it’s debatable whether the dosing schedule will be advantage and therefore not a slam dunk inclisiran will make a big dent in year 1

This has to be a red team manager. If you were on the Titantic you would be saying the iceberg wasn't that big.
 
























Buy and Bill is a nightmare, period. Let ONE shot be given without approval from insurance and the Doctor will eat the cost and never buy again. Trust me. This will go thru injection network (local hospital). It will take two years to train Cardiology and to get insurance on board. They do have safety issues.
 
















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