Subject: J&J's Brand Of Anemia Drug Wins FDA Nod Date: Published: 1/3/91 (85 lines) Source: Wall Street Journal. Copyright Dow Jones & Co. Inc. Technology & Health: J&J's Brand Of Anemia Drug Wins FDA Nod ---- By Michael Waldholz and Rhonda L. Rundle Staff Reporters of The Wall Street Journal Johnson & Johnson gained approval from the U. S. government to market its brand of a big-selling drug for treating anemia. The drug, called erythropoietin (EPO), may be especially helpful to many people with AIDS who can't take the drug AZT because it causes severe anemia for them. The drug is a genetically engineered version of a natural human protein made by the kidney that stimulates the body's supply of red blood cells. In 1989, the Food and Drug Administration gave Amgen Inc. approval to sell EPO under the name Epogen. Analysts said Epogen had sales of about $275 million in 1990, making EPO the biggest selling drug yet to be produced by the biotechnology industry. Under an agreement between Amgen and Johnson & Johnson, Amgen has the U. S. rights to sell EPO only for use in treating patients who have anemia as a result of kidney problems and who require regular dialysis treatments. Ortho Pharmaceutical Corp., a division of Johnson & Johnson, has the right to sell its brand of the drug, called Procrit, for all other anemia-related problems. In a study conducted by Ortho, the use of EPO significantly reduced the need for transfusions for patients with AIDS who are treated with AZT, the anti-AIDS drug marketed by Wellcome PLC. In the study of 118 patients, use of EPO reduced the need for transfusions by 40%, Ortho said. "We think this provides a real advance in the quality of life for many people {with AIDS}," said Mathilde Krim, founding co-chairwoman of the American Foundation for AIDS Research. Ms. Krim said many doctors weren't using Amgen's version of EPO for AIDS patients because they were awaiting FDA approval. Kenneth Abramowitz, an analyst with Sanford C. Bernstein & Co., said he expected EPO sales to generate about $500 million to $700 million in annual revenue for Johnson & Johnson within five years. Johnson & Johnson already has been selling the drug in Europe, where it generated about $150 million in sales in 1990. Epogen and Procrit are "the same drug," an Amgen spokesman said. Amgen's plant, which is next to company headquarters in Thousand Oaks, Calif., will supply EPO to Johnson & Johnson for packaging and sale to AIDS patients receiving AZT drug treatment. Amgen "won't get into promoting {Epogen} outside the dialysis market, and we would expect J&J wouldn't get involved in the dialysis market," the spokesman said. Under terms of their 1985 agreement, Amgen is entitled to royalties from Procrit equal to 5% of sales until Johnson & Johnson recovers certain development costs; then Amgen's percentage will rise to 10%. Amgen said it already has received about $25 million from Johnson & Johnson to develop EPO and two other drugs. The agreement has been the subject of a bitter dispute!`P between the two companies. In April, a private arbitration judge ruled that Johnson & Johnson must buy all of its U. S. supply of EPO from Amgen. The companies also are supposed to develop a system that W,[6enable them to monitor sales by medical treatment. "It's the only way to be sure that both sides adhere to the agreement," the Amgen spokesman said. Analysts said the financial impact of the FDA approval is minimal for Amgen. But said Linda Miller, an analyst at PaineWebber Inc., "Many investors believe the market for EPO is much broader than dialysis, and this shows that the FDA agrees. EPO still isn't a mature product in terms of its life cycle." In national over-the-counter trading yesterday, Amgen shares rose $1.50 to $63.75. Johnson & Johnson shares fell $1.75 to close at $70 in New York Stock Exchange composite trading. [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.]