More threads by David Baxter PhD

David Baxter PhD

Late Founder
Pill for schizophrenia is due out in 2010
By Mike Musgrove, Washington Post
Monday, November 2, 2009

Early next year, if all goes according to plan, doctors will be able to prescribe a new antipsychotic drug for patients with schizophrenia. When that happens, investors in a local pharmaceutical firm will surely breathe a sigh of relief.

While it's almost certain that the compound known as Fanapt will reach pharmacy shelves, the drug's future was anything but clear for most of its 13-year existence. Rockville-based Vanda Pharmaceuticals toiled for years on its development, even after larger drugmakers lost interest and the Food and Drug Administration gave the product a thumbs-down.

"Last year at this time, nobody believed in the company, and nobody believed in the compound," said Mihael H. Polymeropoulos, Vanda's president and chief executive. Today, the company has a deal for Fanapt worth nearly half a billion dollars.

Shareholders fled the company in droves last year after a negative ruling from the FDA, and Polymeropoulos says he doesn't blame them. He founded Vanda after earlier careers, mostly in Washington, in the health-care industry. He'd never heard of a case in which the FDA reversed a decision on a drug, but that's what happened after Vanda told the agency that it had misinterpreted some data.

Polymeropoulos says he never wavered in his belief that Fanapt could help people.

"People in my field hold the belief that there are scientific truths to be found, and once you solve the problems they can impact health care," he said. "It is that conviction that allows people to commit themselves for a long period of time despite adversity."

In any case, the chief executive said, it's the prospect of helping schizophrenic patients and not the lure of potential profit that serves as the company's driving force. "My belief is you don't build companies to make money just like a bank," he said. "A health-care company's mission is to develop treatments for people."

Fanapt, like other antipsychotic drugs, controls the way information is carried from one nerve cell to another and reduces the activities of some brain activity associated with schizophrenia. The compound blocks a different combination of neurotransmitters than earlier-generation antipsychotic drugs, Polymeropoulos said. The company says Fanapt targets a more relevant set of neurotransmitter receptors, so that patients are likely to suffer fewer side effects than with other medications.

Polymeropoulos has worked on the drug's development for 10 years, including during his earlier career as head of the Novartis pharmacogenetics unit. The giant drugmaker owned the drug early in its development but sold it when it was streamlining its product pipeline. Polymeropoulos and his start-up acquired the rights.

Today, Novartis is back in the Fanapt business. Under the terms of a deal announced last month, Vanda will receive an upfront payment of $200 million from Novartis for rights to commercialize Fanapt in the United States and Canada. As long as Vanda meets certain development milestones, the company will be eligible for additional payments totaling up to $265 million. Not bad for a company that lost $12.4 million during its second quarter this year, and faced shrinking cash resources of under $30 million.

Fanapt's somewhat arduous path to the marketplace isn't unusual, said Sunil Bhonsle, president of Titan Pharmaceuticals, a company that owned the rights to Fanapt before Novartis and will receive royalty payments for the drug when it goes on sale. It is not uncommon for companies to end up with too many products under development, he said, and for some of those products to go to smaller firms for development.

"There tends to be a pattern where smaller companies do a lot of the innovation, then the larger companies acquire them at a certain point," he said.

Even during a tough economic climate that has most sectors tightening belts, the pharmaceutical industry is on the lookout for potentially lucrative experimental drugs to invest in. Older drug products eventually go off-patent and face new competition from cheaper, generic versions.

According to a recent report by Dealogic Revenue Analytics, the dollar value of acquisitions by pharmaceutical and biotechnology firms is up 23 percent this year. Across all industries, by comparison, that figure is down 35 percent -- at $1.7 trillion, compared with last year's $2.6 trillion.

Vanda is one of the first Washington area firms to benefit from an ongoing global spending spree in this industry, and there are periodic rumors about an acquisition of Rockville-based Human Genome Sciences. As recently as August, HGS's stock jumped 14 percent on speculation that the company's sometime partner GlaxoSmithKline intended to buy the firm. HGS has a potential hit with an experimental drug to treat Lupus.

If other Washington area companies have yet to spark that sort of speculation, it might be because they don't have a product far enough along to tempt buyers, some say.

"In Maryland, our companies are not mature enough yet," said John Holaday, who has started three biotech companies. "We don't have a lot of companies that have products in late-stage trials or products that are already in the marketplace."

Polymeropoulos said his work with Fanapt isn't done yet. The company's next task is to help Novartis launch the drug, in tablet form, to pharmacies starting early next year. After that, he and his firm intend to create a version of the drug that patients will receive as a once-a-month injection.
 

David Baxter PhD

Late Founder
Fanapt: Hope or Hype?

Fanapt: Hope or Hype?
by Christina Bruni, HealthCentral
Wednesday, November 04, 2009

Early next year Vanda Pharmaceutical's schizophrenia drug Fanapt (generic: Iloperidone) will hit the pharmacy shelves. Could it be the first third-generation atypical? It blocks a different combination of neurotransmitters than earlier antipsychotics. The company says Fanapt targets a more relevant set of neurotransmitters, so that patients are likely to experience fewer side effects than with other medications. The drug has been in development for 10 years and after a negative ruling from the FDA is back on the market. It was originally not approved after Vanda told the regulatory agency they had misinterpreted some data.

ou can read the full U.S. prescribing information at the Fanapt website or get information at a popular drugs site. After reading this, you can decide for yourself if the drug is one you would consider taking. The comments posted in response to the Washington Post article that reported on this news were universally heartless. I doubt most of the posters actually had schizophrenia. One mother said she cured her son of schizophrenia without medication and would never allow him to take a drug.

That's interesting because my own mother's one true act of love was to drive me to the hospital within 24 hours of my breakdown, where I was given Stelazine, the drug that halted my positive symptoms within three weeks. Had she not done that I wouldn't have recovered. I certainly wouldn't have the life I have now.

One person recommended homeopathy and acupuncture. A truly scary response came from a guy or woman who traded in stereotypes: if you had schizophrenia, just hold a cell phone to your ear. The implication of course was that people with SZ talk to themselves and could conveniently disguise this.

The one legitimate post came from someone who just might have this disease: he hoped that Fanapt would not cause people "to become fat." Trust me: I do not believe it is right that someone should gain 100 lbs because he or she is prescribed an atypical to treat the symptoms of schizophrenia. Nobody should have to make the "sanity versus vanity" choice.

Right now, I'm lucky the drug I'm on works for me. As soon as Dr. Altman instituted the cross-titer from the old drug, I noticed an improvement within three days. A friend protests that I'm skinny because I eat healthful foods and exercise. I beg to differ. I'm skinny because I'm on Geodon and this drug did not induce a ravenous, constant appetite in me. I deal in the real: I'm one of the lucky ones. I do not like to entertain the possibility that if I were on a different drug I wouldn't be able to control my impulse to eat.

The fact is, I'm not on Zyprexa or any of the other culprits. As to whether Fanapt will cause weight gain because it increases a person's appetite, I sure hope Vanda Pharmaceutical will be upfront about that. As with any medication you're considering taking, whether it's for a chemical imbalance in the brain or another medical condition, you have to do a risk-benefit analysis and decide at what point the risks outweigh the benefit. The benefits could outweigh the risks.

The company claims there are fewer side effects yet like with any new drug we don't know the long-term effects as it hasn't been prescribed long enough to determine them. With Zyprexa, according to my first psychiatrist, Dr. Cruz, he knew it caused weight gain even though the company said it didn't. Eli Lilly lied. Will Vanda be upfront? One would certainly hope so.
 
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