Subject: FDA Approves Five-Minute AIDS Test Date: Published: 12/14/88 105 lines Source: Wall Street Journal. Copyright Dow Jones & Co. Inc. Technology: FDA Approves Five-Minute AIDS Test Developed by Cambridge BioScience ---- By Christopher J. Chipello Staff Reporter of The Wall Street Journal BOSTON -- Cambridge BioScience Corp. said it received approval from the Food and Drug Administration to sell its five-minute diagnostic test for acquired immune deficiency syndrome. The approval marks an important development for AIDS testing world-wide. Unlike currently available tests, the new product doesn't require laboratory instruments and thus could be administered in remote areas. It also shortens testing time from the three hours or so now required -- a factor that can be crucial in certain situations, such as organ transplants. The test will be marketed in the U. S. and overseas exclusively by Baxter Healthcare Corp., a subsidiary of Baxter International Inc. Cambridge BioScience said the tests, which can be run on a drop of blood from a finger, could be used in doctor's offices, emergency medical centers or venereal disease clinics. They will be priced at about $10 each, depending on volume, and sales are expected to begin "within the next few weeks," said Gerald Buck, president and chief executive officer of Cambridge BioScience. AIDS tests now are priced at $1 to $3 each, and are used mainly by blood banks. The approval marks a milestone for the young company. At a news conference here, Mr. Buck said the Worcester, Mass., biotechnology company expects to capture by the end of 1989 10% to 15% of a market that currently is estimated at $100 million to $200 million world-wide. In national over-the-counter stock trading, Cambridge BioScience's stock closed at $15.375, up 87.5 cents. In New York Stock Exchange composite trading, Baxter's stock closed at $17.625, up 37.5 cents. Mr. Buck said clinical trials on more than 7,000 specimens at nine sites have shown that the five-minute test yields only 0.4% false negative readings and 0.4% false positive readings -- levels that he said are as good or better than currently available tests. The FDA said the five-minute test, the first approved AIDS test based on gene-splicing techniques, isn't intended to replace the current tests used by blood banks for screening donated blood. "Furthermore, any positive reactions using this screening test must be confirmed because false-positive reactions can occur," FDA Commissioner Frank Young said in a prepared statement. Mr. Buck noted, however, the test would enable doctors to tell patients right away if they tested negatively for the virus. For those patients testing positive, doctors would be advised to immediately repeat the test, he said. After a second positive finding, a larger blood sample would be taken for further laboratory confirmation. Mr. Buck also said Cambridge BioScience is seeking FDA approval for a test to confirm a positive finding that can be done in just two hours, compared with 24 hours for the procedure commonly used. Donald Reed, the company's chief financial officer, said the company hopes to receive approval for the two-hour test in 1989. Cambridge BioScience, a seven-year-old biotechnology company, has reported a string of large losses as it waits for its products to come on line. For the first nine months, the company posted a net loss of $5.4 million on revenue of $3.2 million. Mr. Buck declined to project the impact of the five-minute test on the company's earnings. Teena Lerner, an analyst with Shearson Lehman Hutton Inc., said the new test "is the product that's going to put (Cambridge BioScience) on the map, as a real company." Ms. Lerner said Cambridge BioScience appears to have a year's lead time over other potential makers of tests based on gene-splicing, such as Du Pont Co. and Abbott Laboratories. Both are among companies that now offer so-called first-generation AIDS tests, based on materials derived directly from the AIDS virus. Baxter, based in Deerfield, Ill., said the test has been approved for sale in Sweden, Norway, Belgium, Switzerland, the United Kingdom, the Netherlands and Ireland. Licenses for the test are pending in West Germany, France, Spain, Italy and Japan. With FDA approval, the test now is available for export sales, according to Baxter, which will market the test through its Pandex division. A Baxter spokesman said the company "isn't counting on generous amounts of revenue" in 1989 from the sale of the new test. The spokesman said one concern the company has is that doctors may avoid such quick tests because they might not want to tell patients face-to-face if they test positive. Mr. Buck said the sales price in Africa will be negotiated with the World Health Organization, to reflect the lower levels of income on that continent. Mr. Buck didn't offer details on how sales to impoverished African nations would likely be handled, but said, "We'll be able to meet their needs, I'm confident." [This article is made available here by Dow Jones Co. for the personal and non-commercial use of callers to this bbs, in the hope that it will be of some help to those who are suffering from the disease and others who are seeking to help them.]