Don't Get Your Drug Approved in Europe First

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Editor’s note: An earlier version of this article indicated that Indevus sold Nebido in Europe, which is not the case. The Fool regrets this error.

You'd think that a drug's prior approval in Europe would help its case for approval with the FDA. You'd think. But Indevus Pharmaceuticals (Nasdaq: IDEV), thanks to European sales of long-acting testosterone Nebido, will be further delayed in its hoped-for comeback.

The drug developer announced yesterday that the FDA will likely make it run a safety study. This will push back any approval of Nebido for sale in the U.S. by about two years. Apparently, this came about because of reports in Europe that some patients had adverse reactions to the drug, sold by Bayer Schering. A short-term coughing episode occurs when a small amount of the oily solution containing the drug enters the bloodstream immediately after injection. There was only one occurrence of the side effect in an earlier U.S. clinical trial, and that person has since received additional shots without complication, so it's certainly not a common issue.

Like Indevus, I'm a little surprised by the FDA's move. The agency could have just as easily approved the drug with a warning label, as is the case with the European version of the drug.

Indevus' stock was walloped yesterday -- down 70% -- and the company now has a market cap of a bit more than $100 million. That seems rather low for a drug developer with five drugs on the market, even if those drugs are only expected to bring in revenue in the mid-$60 million range this fiscal year.

Investors are most likely worried about how Indevus will make it for those two more years before Nebido is on the market. The company only had about $60 million on its balance sheet at the end of the quarter, but it's gained another $7 million up front for licensing the European rights to its prostate cancer treatment, Vantas, to Orion, with up to $14 million more coming. With a burn rate previously projected in the high tens of millions of dollars per quarter, Idevus will now need to cut costs and raise cash pretty soon.

With the stock trading so low right now, dilutive financing through a secondary stock offering isn't really a good option. The best choice for getting more cash might be to sell off the royalty stream it gets from Allergan (NYSE: AGN) for its overactive-bladder drug, Sanctura. Other drug developers in need of cash -- like Rule Breakers picks CV Therapeutics (Nasdaq: CVTX) and Vertex Pharmaceuticals (Nasdaq: VRTX) -- have recently pursued that approach, with considerable success.

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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

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  • Report this Comment On June 05, 2008, at 6:55 PM, bennfine wrote:

    The one thing I don't get about this is the following statement "The drug developer announced yesterday that the FDA will likely make it run a safety study"

    Note that it DOES not say the fda WILL MAKE it run a safety study, but WILL LIKELY make it run a safety study. Why the hedge ?

    In addition, someone knew something tuesday. The PUT option activity was immense, and the price was walked down tremendously. Clearly something leaked out early.

  • Report this Comment On June 05, 2008, at 7:24 PM, TMFBiologyFool wrote:

    The company said that it wouldn't get a formal communication until June 27th. Until then the FDA could change its mind (unlikely, but you never know). Thus the "will likely".

    -Brian Orelli (TMFbiologyfool)

  • Report this Comment On June 05, 2008, at 7:51 PM, bennfine wrote:

    Hey Brian-thanks for the quick response. Maybe you can address some other issues then.

    Although your article is nice, it really doesn't say anything new than the other recent notes-say from seekingalpha or other places. But yet there are so many strange things that have happened with this company, and so many strange trading days, that there is undoubtedly an interesting story here.

    What I would like addressed are the strangeness of the situation. Is it normal for a biotech stock to dive 70% after a "likely" notice like this ? This was an informal notice from the FDA ? Seems strange. This was not a one-hit wonder drug company.

    The lets go into the heart of the discussion on Yahoo.....several of the long time posters are completely perplexed; IDEV is know to have wacky management, but still, this week's action seems to take the cake.

    As one poster put it, with regard to the FDA decision not being offical or even final.... (btw Wagner quoted below is Brook Wagner, and IR person at IDEV)

    ------Yahoo post below--------------

    >> Where are you getting this information from??? <<

    angelo -

    I contacted the FDA both yesterday and again today. I've urged others on this board to do the same and had provided the links necessary just to make it easier for everyone.... including you.

    The FDA's response is that they have neither approved nor disapproved the Nebido NDA.... meaning that NOTHING has **OFFICIALLY** been decided.

    Which is why this is a huge mystery as to WHY IDEV would release such a negative PR when there really is nothing concrete to report.

    I'd imagine IDEV trying to convince the FDA NOT to approve Nebido at this point to avoid the potential litigation you're referring to.

    I've tried to contact Wagner many times in the past couple of days and have gotten NO response via e-mail and NO returned calls.

    I take that to mean that IDEV itself doesn't know which way is up right now.... which would be par for the course for the gang that couldn't shoot straight.

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