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Boston Scientific Helps Itself ... and Its Rivals

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Boston Scientific (NYSE: BSX  ) released positive results from a clinical trial testing its heart devices, but unfortunately the data is likely to help its competitors as well.

The trial pitted traditional implantable cardioverter defibrillators (ICDs) -- devices that treat abnormal heart rhythms -- with newer, more expensive ones that include a cardiac resynchronization therapy function (CRT-Ds). That function makes sure the heart's ventricles are in synch and is usually reserved for patients with more advanced heart problems. In the study, patients treated with the CRT-Ds had a 29% reduction in death compared to those treated with just ICDs. More importantly, the trial was done with patients suffering from earlier stages of heart failure, patients where the more expensive CRT-D devices aren't routinely used.

Unfortunately, that's where the good news ends.

Unlike Intuitive Surgical (Nasdaq: ISRG  ) -- where improved results from robot-assisted surgery help only Intuitive Surgical -- Boston Scientific has significant competitors in the ICD market, which includes CRT-Ds. Doctors are likely to extend the findings from Boston Scientific's products to all CRT-Ds, which will help other makers of CRT-Ds, such as Medtronic (NYSE: MDT  ) and St. Jude Medical (NYSE: STJ  ) . In fact, the results may help St. Jude more than Boston Scientific, because the $394 million in sales of ICDs at St. Jude made up nearly 35% of sales in the first quarter, compared to the $444 million at Boston Scientific, about 22% of total sales.

The reason for the study is obvious: According to Boston Scientific, 70% of the about 5.5 million Americans suffering from some form of heart failure are in the earlier stages, those stages tested in the clinical trial. Thus there are plenty of patients to go around.

It's just unfortunate that the trial results will also likely help its competitors, but Boston Scientific should be able to make up the cost of the trial and then some if it can expand the patient base for CRT-Ds.

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Fool contributor Brian Orelli, Ph.D., doesn't own shares of any company mentioned in this article. The Fool has a disclosure policy.


Comments from our Foolish Readers

Help us keep this a respectfully Foolish area! This is a place for our readers to discuss, debate, and learn more about the Foolish investing topic you read about above. Help us keep it clean and safe. If you believe a comment is abusive or otherwise violates our Fool's Rules, please report it via the Report this Comment Report this Comment icon found on every comment.

  • Report this Comment On June 24, 2009, at 2:02 PM, lemoneater wrote:

    This is good news for heart patients. Let's hope that it raises the whole ICD company sector. Disclosure I'm invested in MDT.

  • Report this Comment On June 24, 2009, at 6:09 PM, HSMinnesota wrote:

    This article implies that BSX should have found a way to exclusively tie the MADIT-CRT results to their device. Like other major trials in this category, however, (like MADIT-I, MADIT-II, SCD-HfT) MADIT-CRT will grow the overall market. Yes, other manufacturers benefit when the pie gets bigger, but the pie does get bigger which helps BSX, MDT, STJ, and patients. Let's face it... Getting clinical results which only benefit your device is exceptionally tough. It requires that you have a really unique feature that can make a real clinical impact. Not only are such features few and far between, but they're not easily grown from inside a big company. The model for innovation in these companies is really through acquisition of smaller companies that can innovate. Until a shift in mindset happens at the big medical device companies, the most you can expect from clinical trial results are those that expand indications.

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Related Tickers

2/14/2012 4:00 PM
BSX $5.92 Down -0.02 -0.34%
Boston Scientific… CAPS Rating: ***
STJ $43.64 Up +0.91 +2.13%
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MDT $39.53 Down -0.95 -2.35%
Medtronic, Inc. CAPS Rating: *****
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