UPDATE: FDA Delays Decision On Amgen Bone Drug For Added Info
20 October 2009 - 2:17AM
Dow Jones News
The Food and Drug Administration delayed its approval decision
on Amgen Inc.'s (AMGN) osteoporosis treatment denosumab, as it
seeks more information from the drug maker.
It is unclear how long it will take for Amgen to meet the
requests, but Roger Perlmutter, executive vice president of
research and development, said in a statement that the company
plans to respond to the requests in the "near term." The next step
will be whether the FDA requires a two-month or six-month review
prior to making its decision.
Amgen shares traded down 2.1% to $60.05. A spokeswoman declined
to comment beyond a press release issued early Monday.
Many on Wall Street had expected such a delay for the drug,
which is key to Amgen's future growth, because regulators have a
history of missing deadlines and may want more time to analyze the
safety record of a new drug like denosumab.
Eric Schmidt, an analyst with Cowen & Co., believes that
denosumab's approval is likely in mid-2010. He continues to project
2010 denosumab sales of $200 million in osteoporosis but said the
Wall Street consensus estimate of about $500 million will likely
have to be reduced.
Despite the delay, Schmidt is recommending that clients buy
shares of Amgen prior to its third-quarter earnings report on
Wednesday, as he expects the company's core business will outshine
any delay from denosumab.
Amgen, which had 2008 revenue of $15 billion, already sells five
products with sales exceeding $1 billion.
Some analysts, including Lazard Capital Markets' Joel Sendek,
project a shorter delay and see denosumab getting approval in early
2010. Sendek project 2010 sales of $439 million, rising to $1.2
billion in 2011.
Amgen has partnered with with GlaxoSmithKline PLC (GSK) to sell
denosumab to osteoporosis patients in Europe and other overseas
markets.
In the complete response letter, the agency requested several
items including information on the company's submitted post-market
surveillance plan, Amgen said.
The FDA isn't requiring any additional clinical trials prior to
completing the review of the drug, but it did request a new
clinical program to support approval for preventing postmenopausal
osteoporosis. The FDA has also requested all updated safety data
related to denosumab, which has the proposed brand name of
Prolia.
Denosumab has the support of six Phase III trials involving more
than 11,000 patients, with a relatively clean safety profile. Since
the approval submission earlier this year, data from two large
studies of denosumab's usefulness in preventing complications from
cancer's spread to bone have become available.
Amgen hasn't disclosed its regulatory filing plans for
preventing cancer-related skeletal complications, but a third study
is coming early next year and many expect approval in late
2010.
The FDA is requiring a Risk Evaluation and Mitigation Strategy,
including a medication guide, a communication plan, and a timetable
for submission of assessments of the plans. Amgen has already
submitted materials for such a program.
JPMorgan analyst Geoffrey Meacham, in a note to clients, said
such requirements aren't onerous as compared to a patient registry,
which could have restricted usage of the drug and hurt sales.
Denosumab is being reviewed for treating and preventing
postmenopausal osteoporosis, and bone loss caused by hormone
treatment in breast or prostate cancer.
Amgen expects a separate FDA response for that cancer-related
application, something that Schmidt called "surprising" because
denosumab was filed using one application with only one FDA
advisory committee reviewing it.
"That is probably not a good sign," Schmidt said, who noted that
the sales potential in bone loss caused by homone therapies is
"fairly modest" in comparison to other potential markets.
-By Thomas Gryta; Dow Jones Newswires; 212-416-2169;
thomas.gryta@dowjones.com