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With Avastin Effectiveness Questioned, Roche's Acquisition of Genentech Looks Hasty

By Jim Edwards | Jun 3, 2009

The news for Roche on Avastin gets worse: Forbes’ Matt Herper just published a lengthy piece which suggests, in layman’s terms, that the $4.8 billion cancer drug kinda doesn’t work very well. Here’s the nut:

… on average, Avastin only increases patients’ life spans by a couple months. The big sales are partly a result of the high cost — up to $55,000 per patient

In breast cancer, the drug hasn’t extended patients’ lives at all in several studies.

… some researchers are wondering if after Avastin is stopped, cancer cells spread more aggressively than before, dulling the drug’s effect. Such a “rebound effect” could explain why Avastin therapy is not resulting in bigger survival gains even as the drug makes pictures on imaging scans look better.

You’ll remember that Avastin was one of the driving forces behind Roche’s acquisition of Genentech. Roche closed that deal for $95 a share — before the results of a big Avastin trial came out. When those results were unveiled, on April 21, Genentech’s (refreshingly straightforward) headline was:

Study of Avastin in Early-Stage Colon Cancer Did Not Meet Primary Endpoint

The study was specifically about whether Avastin is any good at stopping cancers returning — the same point addressed in the Forbes piece.

Almost immediately after the study failure, questions were being asked about whether Roche overpaid for Genentech. (And why didn’t it wait for the results before making the deal? Sure, Genentech would have become more expensive if the results were good, but BNET noted as early as August 2008 that many scientists just didn’t believe Avastin was going to make the grade, suggesting that Genentech’s price was about to drop.)

Roche has spent the last few days at ASCO, where it is presenting a staggering 12 percent of the conference’s entire docket — 500 abstracts! Quantity isn’t quality, of course. The stock is sinking as every day of the meeting goes by.

Jim Edwards, a former managing editor of Adweek, has covered drug marketing at Brandweek for four years, and is a former Knight-Bagehot fellow at Columbia University's business and journalism schools. Follow him on Twitter or send him an email.

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    Maen ADDASSI

    06/03/09 | Report as spam

    RE: With Avastin Effectiveness Questioned, Roche's Acquisition of Genentech Looks Hasty

    I think the Avastin is a big bubble should be finished for example:
    1. Colorectal Cancer: with Oxaliplatin was not impressive. Only with Irinotecan also a negative result in early cancer
    2. Breast cancer with old product called Paclitaxel was given a good result (only progression free survival not overall survival) but in the other hand with the newest & most common drug Docetaxel with a trial called Avado trial ; it seems the result was not so impressive they tried to promoted the Hazard ratio rather than a clinical result. The median time to disease progression was 8 months with docetaxel alone, compared with 8.7 months with docetaxel plus low-dose bevacizumab, and 8.8 months with docetaxel plus high-dose Bevacizumab it is 0.8 months = 24 days !!!
    3. Lung cancer : at the beginning with Paclitaxel it was made a good survival a trial called E4599 by A Sandler published at 2006 at NEJM it is add 2 months for overall survival (from 10.2 to 12.2 ) with a double dose and of course a double cost. And at ATLAS study with Tarceva 1.3 Month more !!!
    4. Renal cell carcinoma : same story; without any advantages regarding survival
    Kindly note the British health system was refused Avastin for CRC or other indications due to lack cost effectiveness
    Is it worth this!!!

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