Wednesday, 3 October 2018

Miracle cures just around the corner - but see the price tag!

Ono Pharma shares jump with a Nobel-winning cancer breakthrough

Cancer immunotherapy forecast to become $44bn cash cow in 2025
A doctor in Tokyo explains to a patient how the immunotherapy drug Opdivo works. (Photo by Ken Kobayashi) 
The work by the two immunologists, who share the Nobel Prize in
physiology or medicine, created the foundation upon which the
blockbuster immunotherapy drug Opdivo was developed.
The drug is projected to bring Japan's Ono Pharmaceutical, which
developed it with U.S. company Bristol-Myers Squibb, 90 billion yen
($790 million) in sales this fiscal year. Ono Pharmaceutical shares
jumped 6.9% in early trading on Tuesday and hit 3,430 yen, the highest
level since August 2016. The closing price was 3308 yen,up 3.5% from
the previous day.
The company has worked with Honjo for nearly 30 years, sending
researchers to his lab. Ono Pharmaceutical celebrated Honjo's Nobel
win with an announcement, saying, "We appreciate the fortune to have worked on joint research together."
Honjo discovered that immune cells contain a surface checkpoint protein, called a programmed death receptor 1, or PD-1. Tumors evade detection
by producing another protein, PD-L1, that attaches to PD-1 and
deactivates the immune cell. Opdivo works by interfering with PD-L1's
ability to attach to PD-1, thereby enhancing the immune system's
response to cancer cells.
Treatment with Opdivo has been shown to be effective in fighting cancer
and some patients have emerged cancer-free. But the drug is expensive,
with a 100-mg bottle costing 730,000 yen. That translates to more than
30 million yen, or $260,000, for a year's supply.
In Japan, the medicine's high price prompted fears that it would drain government coffers, given the strain the country's aging population
already puts on the budget.
The government took the unusual step of halving the price of Opdivo last February, ahead of biennial drug price revisions scheduled for this fiscal
year. The treatment is revolutionary not only in a pharmaceutical sense
but also in how it has spurred debate on reining in drug costs and
reforming social insurance programs.
That revenue, together with roughly 40 billion yen in Opdivo licensing
fees, will form a large chunk of Ono's estimated group sales of 277 billion
yen for the current year through March. After Opdivo debuted, Ono's
market capitalization doubled to about 3 trillion yen in 2016.
In addition to Opdivo, there are four other major immunological
anticancer agents that chase the PD-1 channel globally -- Imfinzi,
developed by U.K. maker AstraZeneca; Tecentriq by F. Hoffman-La
Roche of Switzerland; Keytruda, by U.S. company Merck; and Bavencio
by the German maker Merck.
Other companies, such as Novartis International of Switzerland, are also developing similar products.

Nikkei staff writer Eri Sugiura contributed to this report.

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