BIOTECH GOLDENBOY
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"Science is not a precise discipline. It's really an art. Things go in and
out of fashion." He cites the fact that three or four years ago U.S. physicians
generally believed ulcers were caused by excess acid and routinely
prescribed antacids like Zantac and Tagamet despite the fact that doctors
elsewhere were prescribing antibiotics.
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"The people who are senior management of pharmaceutical companies
are chemists. The way they used to develop drugs is to randomly synthesize
a series of compounds and see if they have some sort of beneficial
effect."
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"In the past three or four years, the U.S. medical community has
completely turned around. Now the prevailing treatment for ulcers is
antibiotic therapy combined with H2 blockers."
By way of another example, Kuo cites Interneuron, a company which,
along with DLI itself, is in the portfolio of Paramount Capital. It managed to
license its diet drug Redux from a French company that had been selling $60
million a year in France as well as in various other European counties.
"The French company that developed it couldn't find anyone to license
it," says Kuo. "So this little company based in Lexington, Massachusetts called
Interneuron was able to license it. They took it through clinical development
here in the U.S. Now it's the biggest launching drug ever in U.S.
pharmaceutical history.
"It's an inefficient market," Kuo sums up, "and pharmaceutical
executives are very conservative."
A large part of this inefficiency Kuo attributes to an industry
paradigm shift of an epochal magnitude. The industry that began as an
outgrowth of the chemical industry simply had trouble embracing
biotechnology.
"The people who are senior management of pharmaceutical companies
are chemists," says Kuo. "The way they used to develop drugs is to randomly
synthesize a series of compounds, then screen them and see if they have
some sort of beneficial effect. If you're lucky, they did."
"In the past 10 years we're able to do things like clone animals, cut
and splice genes and put it into bacteria, grow the bacteria and grow
pharmaceutical quantities of various proteins. Part of all this is looking at the
genome and trying to understand exactly what roles all the genes have. It's a
very different science from chemistry. You have a lot of senior management
at major pharmaceutical companies not understanding DNA, what proteins
are, how they interact with receptors. So they elected instead to buy and sell
each other and do vertical and horizontal integrations. Only now are they
starting to seriously consider biotechnology."
The biotech industry, Kuo believes, is completely analogous to and
about 5-10 years behind, the semiconductor industry which began emerging
from the electronics industry 15 years ago.
He cites Amgen which started only 15 years ago and is now in the top
20 of all pharmaceutical companies.
"A lot of Asians are in the bio sciences but
haven't really been involved in the managerial side as has already occurred
in the computer industry. They're very similar in that technology has
allowed entire industries to spring up and allowed the U.S. to take the
leadership role in these two areas.
"It's the classic technology paradigm shift," Kuo says. "A group of
typically younger people are willing to take the risk and jump into a new and
emerging industry. Usually the established companies are too complacent to
make that change and are left behind."
The successful among those rash young biotech upstarts are being
richly rewarded by the investment community. Kuo cites companies he
believes are comparable in the nature of their products and their stage of
development.
"Pathogenesis, which is based in Seattle, just completed Phase III
trials for a cystic fibrosis drug and that's an inhaled antibiotic. Their
valuation is north of $600 million. That's just one product. They also have a
Phase I product but certainly not more than two products in development.
"Another company called Alliance Pharmaceuticals in La Jolla, California,
has a drug that's potentially competitive with our KL4-Surfactant called
LiquiVent. Their stock valuation is somewhere around $400 million. They're
in Phase II and announced negative results of their clinicals. They
announced that their drug was safe and appeared to have some efficacy in
the subsegment of patients below age of 55, but due to randomization error
in that there were insufficient patients in the under-55 age group, their
results were not statistically significant."
The negative results doesn't necessarily spell doom for Alliance, says
Kuo, probably just another couple of years of clinical tests.
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