The approval of Dendreon's
Instead, the approval last week was just a glaring reminder that the biotech currently has much more supply capacity than it has demand. Earlier this month, Dendreon announced that it wouldn't make its sales guidance for the second-half of the year because doctors weren't prescribing the drug at nearly the level it expected.
The Atlanta plant won't be completely worthless. Provenge is a patient-specific treatment that's made to order. Immune cells are removed from the patient, sent to one of Dendreon's facilities where they're trained to attack the cancer, and then sent back to a facility near the patient where they're put back into the patient. This has to be done relatively quickly -- cells don't live outside the body for very long -- so the Atlanta facility will make scheduling easier for prostate cancer patients in the south.
But don't be fooled into thinking that going from two manufacturing plants to three will instantly increase sales by 50%. In order to get sales back toward the hyper growth Dendreon expected it could achieve, the biotech needs to convince doctors to prescribe it more often. It's really that simple.
Figuring out why doctors aren't prescribing Provenge isn't as simple. Cancer treatments such as Bristol-Myers Squibb's
I think Dendreon's theory that doctors are scared of fronting a large amount of money before being reimbursed is completely reasonable. Unlike other cancer treatments that are dosed over a long time frame, Provenge requires three doses two weeks apart, so the entire cost of the treatment is paid over just one month. Unfortunately, the only solution for the problem is time. As doctors become more convinced that they'll be reimbursed by insurance companies and Medicare, they'll increase their prescriptions of the drug.
Assuming it's just a price density issue, the new Atlanta plant will be humming along close to full capacity eventually.