Sunday, May 15, 2016

Biotechnology: more than re-growing hair and prolonging erections!



5/15/16
Biotechnology: more than re-growing hair and prolonging erections!
Political rhetoric and brinksmanship may have to take a holiday in the upcoming legislative session.  In order to maintain a friendly face for the masses, the politicos will work on passing legislation to fast track bio therapeutic medications.  The legislation, the Lifesaving Treatments Act, will fast track the process of bringing new pharmaceuticals to market, specifically already developed ones, thus increasing the profitability of bio pharm sales and development.
Who gains? :
Industry/investors: Most importantly the legislation will open doors from foreign markets, allowing countries that the federal govt deems “trust worthy” (cruz.senate.gov). This will cause a boom in the short term for biotech firms who have already lead successful R&D efforts overseas.
Highlights of the RESULT Act include:
 • Amending the Food, Drug and Cosmetic Act to allow for reciprocal approval of drugs, devices and biologics from foreign sponsors in certain trusted, developed countries including EU member countries, Israel, Australia, Canada and Japan.
 • Encouraging the FDA to expeditiously review life-saving drug and device applications, this legislation would provide the FDA with a 30-day window to approve or deny a sponsor’s application.  Qualifying medical products are already approved and sold in developed nations with a satisfactory history of clinical trials and data.
 • The HHS Secretary is instructed to approve a drug, device or biologic if the FDA confirms the product is:
 ◦ Lawfully approved for sale in one of the listed countries;
 ◦ Not a banned device by current FDA standards;
 ◦ There is a public health or unmet medical need for the product.
 • If a promising application for a life-saving drug is declined Congress is granted the authority to disapprove of a denied application and override an FDA decision with a majority vote via a join resolution.
 • Quick and safe reciprocal approval would help relieve some of the drug shortage problems by allowing numerous safe and qualified alternatives to enter the U.S. market. Health care providers and their patients who need critical and commonly used generic medications including cancer drugs, antipsychotic drugs for mental health emergencies, anesthetics and much more could will benefit from increased competition and a greater supply of drugs and devices. 
 The biotech industries that have already had approved treatments in these countries, many of which are not highly profitable in overseas markets, due to socialized health care which capitates the amounts charged for medications, stand to gain considerably form the market share opened up in the united states where a semi capitalistic health care market still exists.  Presently costs associated with bringing drugs or devices to market range from $2billion to $3billion dollars, depending on the device or drug (www.bostonglobe.com).  Bio pharm, though cutting edge and highly profitable, is especially risky because costs pertaining to a substance developed in a living cell are much higher than those of a chemical.  It is worth noting that the patent and intellectual protection rights for most bio pharm advances start at the time when testing begins.  This makes the margin even slimmer, and the potential benefit even less for developers, since their biologic molecule can be copied readily in the short window and released as a biosimilar (jargon for a generic).  This is well illustrated in the case of Humira marketed by AbbVie, *ABBV on NYSE.  The impending release of a biosimilar has resulted in an evaluation and increase in price of their product, as AbbVie fights to make as much as possible before their product is outsold by a generic (businessfinancenews.com).    
For a list of historic advances in biotech view: http://www.biotechinstitute.org/go.cfm?do=Page.View&pid=22 , pharm stocks increased markedly after these events.  It is likely that similar gains will occur as markets open, and advances become more profitable, and indeed possible.
                Patients: In the US Litigatory burden alone makes up over 2.4% (55.4 billion) of health care costs in 2008 (www.ncbi.nlm.nih.gov), and while this cost may not go down any time soon, customers of the US health care system may at least see some relief in the form of a reduction in medical device, and drug prices.  Many of the bio therapeutics on the market today are, in biotechnology terms, archaic. They have been replaced in countries that have fast track processes by much more successful, and cost effective, therapies. While the health care standard in the USA is high above many third world countries, it does indeed rank nearly dead last in outcomes per dollar spent in comparison to the rest of the world (data.worldbank.org).  This is largely because of, pharmacotherapeutic, and administrative costs.
Politicians: It’s as easy to find an honest politician as a unicorn.  Politicians need to seem like they genuinely care, and to do that is to they must have non-controversial legislation.  With such a divisive political climate, it is likely that a piece of legislation as politically benign as this will slip past.  Politicians are eager to gain back their shares of voters, which seem to be leaving in mass from the two parties in power.  They must therefore, sell themselves and increase their market share of voters by passing legislation that gives the other party nothing, but makes them look compassionate.  This type of legislation is exactly that.   
Companies to consider:
Limited down side:
Higher end more stable:

Disclosure: The author owns both GERN, and AST shares. 

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