Showing posts with label remain. Show all posts
Showing posts with label remain. Show all posts

Monday, 9 September 2013

Vivus' Qsymia Scripts Remain Flat

The Vivus (VVUS) anti-obesity drug Qsymia is still essentially seeing flat sales for the third week in a row. This is happening as a new CEO takes over after former CEO Tony Zook stepped down only a month into that role after a long proxy fight.

Vivus saw great traction in prescription numbers when the company was able to add certified pharmacies to its distribution, but the influx of new channels for selling the drug, as I anticipated, leveled off. What we seem to have now is Vivus stuck in the 10,000 scripts per week range. I am anticipating that next week will be flat yet again.

(click to enlarge)Qsymia Prescription Sales

On an unadjusted basis Vivus has seen about 203,000 prescriptions sold in 51 weeks. This number is well short of what was expected from an anti-obesity drug with a potential market of over 100,000 Americans. Even with a 30% upward adjustment we are seeing sales at a modest 264,000. If next week does indeed remain flat the 1 year adjusted prescription sales figure will be right around 277,000. At about $60 per script in net sales, the revenue story only approaches about $16.5 million, well short of the type of cash needed to continue operations and pay for FDA required studies.

What will it take to see sales increase? Insurance coverage, advertising, and consumer acceptance. Competitor Arena (ARNA) has Belviq on the market, and other entrants such as Orexigen (OREX) are waiting in the wings. Vivus had the advantage of being first to market, but the market has not yet been robust enough to show the blockbuster promise that was once assigned to it.

Generic phentermine sells between 130,000 and 150,000 scripts per week. This is the market that both Vivus and Arena are trying to tap into. Thus far these companies have managed to garner just a modest share despite Qsymia being on the market for nearly a year and Belviq being on the market for 3 months.

For investors to question the slow growth in sales is a natural reaction. The bigger issue is what the company mission will be. With Tony Zook stepping down and a new CEO taking the reins, investors need to know whether or not the strategies outlined by Zook are still intact.

Modest sales of Qsymia make the Stendra pipeline more important than ever. Vivus was able to partner with Stendra in Europe and received a cash infusion, but there is still clearly a need to see sales of Qsymia or Stendra begin to hit the desired marks. As yet the inaction is dragging the potential of the sector down. Stay Tuned.

Disclosure: I am long ARNA. I wrote this article myself, and it expresses my own opinions. I am not receiving compensation for it (other than from Seeking Alpha). I have no business relationship with any company whose stock is mentioned in this article. (More...)

Additional disclosure: I have no position in Vivus or Orexigen.


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Monday, 19 August 2013

National audit of neonatal care reveals more positive experiences, but variations remain in key health outcomes for newborns, UK

Main Category: Pediatrics / Children's Health
Article Date: 19 Aug 2013 - 2:00 PDT Current ratings for:
National audit of neonatal care reveals more positive experiences, but variations remain in key health outcomes for newborns, UK
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More than three quarters (79%) of the parents of babies in neonatal units are seen by senior healthcare professionals within 24 hours of admission and the majority of parents report positive experiences, but there is room for improvement in areas such as breastfeeding rates and levels of hypothermia in newborns, according to the 6th Annual National Neonatal Audit Programme 2012 (NNAP). The report is published today by the Royal College of Paediatrics and Child Health (RCPCH).

Commissioned by the Health Quality Improvement Partnership (HQIP), the audit measures neonatal units against a series of standards in order to assess if babies receive the right level and consistency of care across England and Wales.

The audit, which assessed 97% of English and Welsh units during 2012, found that:

79% of the parents of babies in neonatal units were seen by senior healthcare professionals within 24 hours of admission.57% of preterm babies born more than 7 weeks early were still receiving some of their mother's breast milk when discharged home. However just 33% of the babies were exclusively breast fed.90% of premature babies born 12 or more weeks early had their temperature recorded within an hour of birth - but 40% had a temperature less than 36.5oC.

Dr Mike Watkinson, RCPCH Project Lead for the National Neonatal Audit Programme, said:

"There is much to be positive about in this audit, with standards of care improving in many areas over the last five years. Data recording is also becoming more accurate and complete.

"But there is variation between units and neonatal networks in areas such as breastfeeding rates - something which we need to explore further to see how the moderately performing can be helped to match the best. It's also concerning that some trusts fail to record key data on every patient: this not only makes it a challenge to get a true national picture, but can under-estimate their own performance."

The audit also included a pilot of a confidential parent questionnaire, which showed that parents were satisfied with the level of involvement in their baby's care:

85% said they were 'always or nearly always' told about changes to their baby's condition or care79% said staff arranged their baby's care (such as weighing, bathing etc) to fit in with usual visiting times73% said doctors and nurses 'always or nearly always' involved them in discussions about their baby's care85% said they were 'definitely' involved as much as they wanted in the day-to-day care of their baby i.e. nappy changing

Dr Watkinson added:

"It's encouraging that the majority of parents in this pilot survey are happy with the standard of care their babies receive, but there are always improvements to make - and as we've identified with breastfeeding rates, more can be done to ensure health outcomes for these babies are even better."

In addition to the printed version of the audit, there will be an online resource highlighting examples of best practice which all units and the public can access.

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
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