New diabetes drugs from rivals Novo, Sanofi both approved by US FDA

November 23, 2016

The US Food and Drug Administration (FDA) has approved two new combination drugsaimed at the treatment of diabetes from rival global healthcare companies Novo Nordisk and Sanofi.

Novo’s Xultophy and Sanofi’s Soliqua both combine a long-lasting insulin with a so-called GLP-1 medicine that stimulates insulin production in the pancreas.Officials at the Danish and French companies recently said the rival treatments would be sold at discounts to the combined price of the component ingredients.

The combination products are viewed by analysts as having substantial sales potential and the two drugmakers hope they will boost revenue at a time when insulin prices are under intense pressure in the key US market, the world’s biggest.

Some 400 million people worldwide suffer from diabetes, with type 2 accounting for more than 90% of the total, as rising obesity rates fuel the epidemic in the US and many other countries.

Jakob Riis, Novo’s head of North American operations, said millions of US diabetics were using insulin but around half were not getting satisfactory treatment, so there were lots of patients who could benefit.

Achieving Xultophy’s full potential will take time, however, as Novo negotiates reimbursement terms with insurers.

The company is going for a focused launch of Xultophy which means not all patients will have access to the treatment through insurance, said Riis, adding that that is something they will develop over time.

The timing of the approvals is broadly in line with expectations for Sanofi but a few weeks ahead of the scheduled decision date for Novo.

Following the green light from the US FDA, Sanofi said it planned to launch Soliqua in January, while Novo intends to launch Xultophy in the first half of next year.

Industry analysts expect Xultophy to generate annual sales of around US$1.20 billion in 2021, while Soliqua is forecast to reach US$550 million by then, according to consensus estimates compiled by Thomson Reuters.

Xultophy, approved in Europe since 2014, combines Novo’s insulin drug Tresiba with its GLP-1 agonist Victoza. Soliqua is a mix of Sanofi’s Lantus and the GLP-1 Lyxumia.

Novo said Xultophy would be offered at a 20 percent discount to the combined price of Tresiba and Victoza, while Sanofi said Soliqua would cost about same as a GLP-1 drug.

Both new drugs are given as once-daily injections and are designed to improve glycemic control in adults with type 2 diabetes.

Jefferies analysts said the most notable aspect of the FDA decisions was that Sanofi had only been granted approval for a single pen device, with one fixed ratio between insulin and GLP-1. The French drugmaker had originally filed for two devices with different ratios but FDA advisers considered this could cause confusion.

Shares in Sanofi’s small biotech partner Zealand Pharma, which is entitled to royalties on Soliqua sales, rose 7%. Sanofi and Novo shares were little changed.

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Category: Features, Pharmaceuticals

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